Gooden, Kiley Nicole

Gooden, Kiley Nicole is an individual health care provider with primary practice located at 210 Ashville Ave , Cary NC 27518-6676. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Gooden, Kiley Nicole can be contacted via phone (919) 350-7331.

Contact Information

Primary practice address
210 Ashville Ave Cary NC 27518-6676
Phone: (919) 350-7331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-12095 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-12095 North Carolina

Profile Details

NPI number 1760059661
LBN Legal business name Gooden, Kiley Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2021
Last updated Oct 31st, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760059661 NPPES
North Carolina MEDICAID 1760059661

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