Individual provider · Type 1 NPI

Kelsey Quinn Goodwin, DO

Student in an Organized Health Care Education/Training Program · Vallejo, CA

NPI number 1649628512 Active

Practice location

975 Sereno Dr
Vallejo, CA 94589-2441

Fax (707) 651-2152

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 1649628512

Kelsey Quinn Goodwin, DO's National Provider Identifier is 1649628512, issued on Jun 1, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vallejo, CA. The record was last updated on Dec 17, 2021.