| Kerry Jo Goodman, LPN | |
| 305 Pacific Ave S Ste C, Kelso, WA 98626-1638 | |
| (360) 425-5378 | |
| (360) 425-5990 | 
| Full Name | Kerry Jo Goodman | 
|---|---|
| Gender | Female | 
| Speciality | Licensed Practical Nurse | 
| Location | 305 Pacific Ave S Ste C, Kelso, Washington | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841792504 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP60341830 (Washington) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kerry Jo Goodman, LPN 2260 Jennifer Pl, Longview, WA 98632-4338 Ph: (360) 518-1886 | Kerry Jo Goodman, LPN 305 Pacific Ave S Ste C, Kelso, WA 98626-1638 Ph: (360) 425-5378 | 
| Rosalie Wright, LPN/LVN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste C, Kelso, WA 98626 Phone: 360-425-5378 | |
| Taylor Williamson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S, Kelso, WA 98626 Phone: 360-425-5378 | |
| Aimee D Johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste C, Kelso, WA 98626 Phone: 360-808-1916 Fax: 360-808-1916 | |
| Amy E Kyle,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste C, Kelso, WA 98626 Phone: 360-795-5008 | |
| Mrs. Carrera Leigh Hobson,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste C, Kelso, WA 98626 Phone: 360-644-1047 | |
| Curtis Clell Whitney, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste C, Kelso, WA 98626 Phone: 603-425-5378 | |
| Rebecca Leah Binion,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste C, Kelso, WA 98626 Phone: 360-425-5378 Fax: 360-425-5990 |