MRS. Kelly Ann Godberson, NP

NPI #1053833962 in Medford, New York

Provider Information

NPI Number
1053833962
Entity Type
Individual
Name
MRS. Kelly Ann Godberson, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Jul 12, 2017
Last Updated
Jul 12, 2017

Practice Location

Address
3115 HORSEBLOCK RD
ZIP Code
11763-2526
Phone
(631) 730-3000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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