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NPI Code Detail

MEDICARE: KARI GOEN

MEDICARE:   KARI  GOEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse323850TX

General Provider Information

NPI Number : 1629557665
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARI GOEN
Provider Business Mailing Address
First Line : 353 GREATHOUSE CIR
Second Line :
City : WAXAHACHIE
State : TX
Zip : 75167-8806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1255 W 15TH ST
Second Line :
City : PLANO
State : TX
Zip : 75075-7299
Country : US
Telephone Number : 866-889-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2018
Last Update Date : 08/10/2018

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Directions to “ KARI GOEN ” Practice Location

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