Goodwin, Katherine A

Goodwin, Katherine A is an individual health care provider with primary practice located at 2231 Jordan Ave , Juneau AK 99801-8050. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goodwin, Katherine A can be contacted via phone (907) 789-1812.

Contact Information

Primary practice address
2231 Jordan Ave Juneau AK 99801-8050
Phone: (907) 789-1812
Fax: (907) 789-7168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 786627 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 786627 Alaska

Profile Details

NPI number 1821047226
LBN Legal business name Goodwin, Katherine A
Credentials ANP CNM
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 26th, 2007 - about 19 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 1821047226 NPPES
Alaska MEDICAID NE78661

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