Goddard, Kimberly Marie

Goddard, Kimberly Marie is an individual health care provider with primary practice located at 2401 W Main St , Marion IL 62959-1188. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Goddard, Kimberly Marie can be contacted via phone (618) 997-5311.

Contact Information

Primary practice address
2401 W Main St Marion IL 62959-1188
Phone: (618) 997-5311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209014034 Illinois

Profile Details

NPI number 1568165074
LBN Legal business name Goddard, Kimberly Marie
Credentials A-GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2023
Last updated Mar 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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