Godwin, Keely B
Godwin, Keely B is an individual health care provider with primary practice located at 1031 W Williams St Suite106, Apex NC 27502-3955. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Godwin, Keely B can be contacted via phone (919) 363-0190.Contact Information
Primary practice address
1031 W Williams St Suite106
Apex NC 27502-3955
Phone: (919) 363-0190
Fax: (919) 363-0195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200200328 | North Carolina |
Profile Details
| NPI number | 1013940964 |
|---|---|
| LBN Legal business name | Godwin, Keely B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Mar 27th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013940964 | NPPES |
| North Carolina | MEDICAID | 5912910 | |
| North Carolina | Other | 132RU | |
| North Carolina | Other | 132RU | |
| North Carolina | MEDICAID | 89132RU | |
| North Carolina | Other | 7154477 |
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