Mrs Kelly L Goodman-o'leary, CRNP | |
3300 Henry Ave Ste 401, Philadelphia, PA 19129-1162 | |
(267) 571-1359 | |
Not Available |
Full Name | Mrs Kelly L Goodman-o'leary |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 3300 Henry Ave Ste 401, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922761741 | NPI | - | NPPES |
SP024574 | Other | PA | CRNP LICENSE NUMBER |
RN721550 | Other | PA | RN LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN721550 (Pennsylvania) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP024574 (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly L Goodman-o'leary, CRNP 3300 Henry Ave Ste 401, Philadelphia, PA 19129-1162 Ph: () - | Mrs Kelly L Goodman-o'leary, CRNP 3300 Henry Ave Ste 401, Philadelphia, PA 19129-1162 Ph: (267) 571-1359 |
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