IndividualActive
Kelly Goodwin, APRN
NPI 1841761798 · Primary Care Nurse Practitioner · Choctaw, OK
Provider details
- NPI number
- 1841761798
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- AG12180060 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14543 Larry St
Choctaw, OK 73020-8569
Phone: (405) 568-9165
Approximate (ZIP-level) locationGet directions
Mailing address
14543 Larry St
Choctaw, OK 73020-8569
Registry dates
- Enumerated
- 2018-12-17
- Last updated
- 2022-03-29
- Certified
- 2022-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.