Kag Professional Nurse Practitioner in Adult Health Pllc
NPI #1295391985 in Medford, New York
Provider Information
- NPI Number
- 1295391985
- Entity Type
- Organization
- Organization Name
- Kag Professional Nurse Practitioner in Adult Health Pllc
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- May 17, 2019
- Last Updated
- Oct 24, 2022
Practice Location
Authorized Official
- Name
- KELLY ANN GODBERSON, NP
- Title
- NURSE PRACTITIONER
- Phone
- (631) 872-2995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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