Goodell, Kyra Lyn Pineda

Goodell, Kyra Lyn Pineda is an individual health care provider with primary practice located at 435 Maxine Dr , Morton IL 61550-2498. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goodell, Kyra Lyn Pineda can be contacted via phone (309) 263-2424.

Contact Information

Primary practice address
435 Maxine Dr Morton IL 61550-2498
Phone: (309) 263-2424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041444483 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 041444483 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209.0258230 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209025830 Illinois

Profile Details

NPI number 1629798822
LBN Legal business name Goodell, Kyra Lyn Pineda
Credentials APRN,CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2022
Last updated Jun 14th, 2023 - about last year

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.

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