Goodman, Kalie Marie

Goodman, Kalie Marie is an sole proprietor health care provider with primary practice located at 1250 E 3900 S Ste 320 , Salt Lake City UT 84124-1350. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Goodman, Kalie Marie can be contacted via phone (801) 263-1621.

Contact Information

Primary practice address
1250 E 3900 S Ste 320 Salt Lake City UT 84124-1350
Phone: (801) 263-1621
Fax: (801) 263-1647
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 13271767-1205 Utah
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 13271767-1205 Utah
Allopathic & Osteopathic Physicians / Surgery 208600000X LL52459 South Carolina

Profile Details

NPI number 1104317999
LBN Legal business name Goodman, Kalie Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2018
Last updated Jun 20th, 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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