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Kelly Goddard
NPI 1700540200 · on the registry since 2021 · sole proprietor
Practice
- Address
- 201 Nichols Ter
Stratford, CT 06614 - Phone
- (203) 377-1752
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut