Individual provider · Type 1 NPI

Kale Thomas Goodwin

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1003798430 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Mailing address

1936 S College Ave
Tulsa, OK 74104-6124

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003798430

Kale Thomas Goodwin's National Provider Identifier is 1003798430, issued on Jul 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 25, 2025.