Kelly L Goodrich is a Home Health in Oregon, Wisconsin. Kelly L Goodrich practices all healthcare services and medical treatments related to Home Health. The NPI Number for Kelly L Goodrich is 1508988171. The last update date is 2007-07-09.
Kelly L Goodrich's current location address is 660 S Main St, Oregon, Wisconsin. You can contact this provider via phone number 6083339160. The mailing address for Kelly L Goodrich is 660 S Main St, Oregon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly L Goodrich |
|---|---|
| Address | 660 S Main St, Oregon, Wisconsin |
| Phone Number | 6083339160 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1508988171 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 660 S Main St |
|---|---|
| City | Oregon |
| State | Wisconsin (WI) |
| Post Code | 535753647 |
| Phone Number | 6083339160 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 163Wh0200X |
|
Definition: A registered nurse who cares for homebound patients requiring skilled services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38337300 | WI | -- |
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What is the unique identification code assigned to Kelly L Goodrich by the Centers for Medicare & Medicaid Services?
The Kelly L Goodrich has been issued the NPI (National Provider Identifier) 1508988171. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly L Goodrich located?
The Kelly L Goodrich is located at 660 S Main St, Oregon, WI 535753647.
What is the Kelly L Goodrich's area of specialization and corresponding taxonomy classification?
The Kelly L Goodrich's specialty field is Home Health, and it falls under the taxonomy code 163Wh0200X, which categorizes healthcare providers based on their specialties.
When was the Kelly L Goodrich's 1508988171 issued?
The Kelly L Goodrich's 1508988171 was issued on 2007-04-04.
When was the information pertaining to Kelly L Goodrich most recently updated or revised?
The details related to Kelly L Goodrich, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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