MEDICARE: KIMBERLY A GOODWIN MD

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
1	207P00000X	Emergency Medicine Physician	13202	NH

General Provider Information

NPI Number	:	1699818773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY A GOODWIN MD

Provider Business Mailing Address
First Line	:	3073 WHITE MOUNTAIN HWY
Second Line	:
City	:	NORTH CONWAY
State	:	NH
Zip	:	03860-7101
Country	:	US
Telephone Number	:	603-356-5461
Fax Number	:	603-356-9048

Provider Business Practice Location Address
First Line	:	3073 WHITE MOUNTAIN HWY
Second Line	:
City	:	NORTH CONWAY
State	:	NH
Zip	:	03860-5111
Country	:	US
Telephone Number	:	603-356-5461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	01/06/2026

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Directions to “ KIMBERLY A GOODWIN MD” Practice Location

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