Goodin, Kelsey

Goodin, Kelsey is an sole proprietor health care provider with primary practice located at 1373 E Sr 62 , Madison IN 47250. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goodin, Kelsey can be contacted via phone (812) 801-0800.

Contact Information

Primary practice address
1373 E Sr 62 Madison IN 47250
Phone: (812) 801-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28244373A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71012671A Indiana

Profile Details

NPI number 1235860255
LBN Legal business name Goodin, Kelsey
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2022
Last updated Jul 19th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235860255 NPPES
Indiana MEDICAID 300064344
Indiana Other 412840156

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