Goodenough, Katherine Mary

Goodenough, Katherine Mary is an individual health care provider with primary practice located at 610 W Adams St , Black River Falls WI 54615. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goodenough, Katherine Mary can be contacted via phone (715) 284-4311.

Contact Information

Primary practice address
610 W Adams St Black River Falls WI 54615
Phone: (715) 284-4311
Fax: (715) 284-0475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3584 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3584 Wisconsin

Profile Details

NPI number 1982849535
LBN Legal business name Goodenough, Katherine Mary
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated May 31st, 2018 - about 8 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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