Kathy Ann Goodwin
NPI #1205567468 in Moss Point, Mississippi
Provider Information
- NPI Number
- 1205567468
- Entity Type
- Individual
- Name
- Kathy Ann Goodwin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Jun 20, 2022
- Last Updated
- Jun 20, 2022
Practice Location
- Address
- 4206 DANTZLER ST
- City
- Moss Point
- State
- Mississippi
- ZIP Code
- 39563-2218
- Phone
- (228) 623-2303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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Organizations
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| Home Community Base Waiver - Ess | |
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