Individual provider · Type 1 NPI

Kyle Nicholas Goodman, MD, PhD

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1912641101 Active

Practice location

1 Barnes Jewish Hospital Plz
St. Louis, MO 63110-1003

Mailing address

660 S Euclid Ave # 8118
St. Louis, MO 63110-1010

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 1912641101

Kyle Nicholas Goodman, MD, PhD's National Provider Identifier is 1912641101, issued on Apr 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 24, 2022.