Goodman, Kristy Marie

Goodman, Kristy Marie is an individual health care provider with primary practice located at 1223 20Th St Apt 102 , Santa Monica CA 90404-1308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Goodman, Kristy Marie can be contacted via phone (315) 573-0690.

Contact Information

Primary practice address
1223 20Th St Apt 102 Santa Monica CA 90404-1308
Phone: (315) 573-0690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 51236 California

Profile Details

NPI number 1760810832
LBN Legal business name Goodman, Kristy Marie
Credentials MS, MPH, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2013
Last updated May 23rd, 2026 - about 6 months 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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