Kellan Goodman

Counselor · Moses Lake, WA

Individual Active NPI

NPI number 1861903197

Practice location

840 E Plum St
Moses Lake, WA 98837-1874
Phone
(509) 765-9239
Fax
(509) 765-4124

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NPI record

NPI
1861903197
Entity type
Individual (Type 1)
Enumeration date
October 13, 2017
Last updated
October 13, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

About Kellan Goodman

Kellan Goodman is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 840 E Plum St, Moses Lake, WA 98837-1874. The NPI number 1861903197 was assigned on October 13, 2017 and the record was last updated on October 13, 2017.

Frequently asked questions

What is the NPI number of Kellan Goodman?

The NPI number is 1861903197.

What is the phone number of Kellan Goodman?

The phone number listed for the practice location is (509) 765-9239.

Where is Kellan Goodman located?

840 E Plum St, Moses Lake, WA 98837-1874.

What is the taxonomy code for Kellan Goodman?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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