| Mr Kim Dale Goodrum, RN | |
|
825 Palmilla Dr, Modesto, CA 95356-1152 | |
| (209) 572-3243 | |
| Not Available |
| Full Name | Mr Kim Dale Goodrum |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 825 Palmilla Dr, Modesto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558520114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 696742 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kim Dale Goodrum, RN 825 Palmilla Dr, Modesto, CA 95356-1152 Ph: (209) 572-3243 | Mr Kim Dale Goodrum, RN 825 Palmilla Dr, Modesto, CA 95356-1152 Ph: (209) 572-3243 |
Malissa Hallahan, Registered Nurse Medicare: Medicare Enrolled Practice Location: 1500 Florida Ave, Modesto, CA 95350 Phone: 866-682-4842 Fax: 877-435-6573 | |
Sherry Monique Ange, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 800 Scenic Dr, Modesto, CA 95350 Phone: 209-525-6070 | |
Mrs. Maria Dolores Diaz, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1540 Florida Ave, Ste 100, Modesto, CA 95350 Phone: 209-544-3236 Fax: 209-577-8125 | |
Terri Lee Bates, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1540 Florida Ave, Ste 100, Modesto, CA 95350 Phone: 209-544-3236 Fax: 209-577-8125 | |
Nancy Lee Mcclure, PHN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 830 Scenic Dr, Modesto, CA 95350 Phone: 209-558-7700 Fax: 209-558-7286 | |
Mechelle Renee Perea-ryan, FNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-556-5064 | |
Mrs. Joanna Flores, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 |