Kim Ethel Goodsell M.D.

NPI 1720226533 - Family Medicine - 207Q00000X

NPI Details
NPI 1720226533
Gender Female
Enumeration Date 02/02/2009
Last Updated 03/02/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
2516 E WHITMORE AVE
CERES CA, 95307-2645, US
Phone (209) 538-1733
Fax
Business Location
600 COFFEE RD
MODESTO CA, 95355-4201, US
Phone (209) 524-1211
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A77554
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According to our database, Kim Ethel Goodsell M.D. NPI is 1720226533, taxonomy code is 207Q00000X and license number is A77554, license state is located at California. Kim Ethel Goodsell M.D. physically located at 2516 E Whitmore Ave, Ceres CA, 95307-2645. NPI Number Kim Ethel Goodsell M.D. has the Individual type.

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1720226533 NPI number is provided on an as is basis without warranty of any kind. 1720226533 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Ethel Goodsell M.D. are for informational purposes only.