KELLY RAE GOODWIN APRN
NPI 1841761798
Nurse Practitioner - Primary Care in Choctaw, OK

Active since December 17, 2018
14543 LARRY ST, CHOCTAW, OK 73020(405) 568-9165 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Rae Goodwin Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY RAE GOODWIN APRN (NPI 1841761798) is an individual primary care provider in Choctaw, Oklahoma, licensed in Florida (AG12180060) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1841761798
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKELLY RAE GOODWINCredential: APRN
Location Address14543 LARRY STChoctaw, OK 73020-8569
Mailing Address14543 Larry StChoctaw, OK 73020-8569 · (405) 568-9165
Sole ProprietorYes
Enumeration DateDecember 17, 2018
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1841761798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in FL · AG12180060
14543 LARRY ST, Choctaw, OK 73020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Goodwin's NPI number?

The NPI number for Kelly Goodwin is 1841761798. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Kelly Goodwin located?

Kelly Goodwin practices at 14543 Larry St, Choctaw, OK 73020. The listed phone number is (405) 568-9165.

What is Kelly Goodwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kelly Goodwin was last updated on March 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.