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KELLY LYNN GOODRICK LPN
NPI 1972737682
Licensed Practical Nurse in Mentor, OH

Active since May 08, 2009
4700 HOMEWOOD DRIVE, MENTOR, OH 44060(440) 622-4834 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Lynn Goodrick Lpn NPPES

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

KELLY LYNN GOODRICK LPN (NPI 1972737682) is an individual licensed practical nurse in Mentor, Ohio, licensed in Ohio (113787 IV) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1972737682
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY LYNN GOODRICKCredential: LPN
Location Address4700 HOMEWOOD DRIVEMentor, OH 44060
Mailing Address4700 Homewood DriveMentor, OH 44060 · (440) 622-4834
Phone(440) 622-4834
Sole ProprietorYes
Enumeration DateMay 8, 2009
Last NPPES UpdateOctober 6, 2011
✔ NPI 1972737682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · 113787 IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4700 HOMEWOOD DRIVE, Mentor, OH 44060
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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 Goodrick's NPI number?

The NPI number for Kelly Goodrick is 1972737682. It was assigned to this individual provider in the NPPES registry on May 8, 2009.

Where is Kelly Goodrick located?

Kelly Goodrick practices at 4700 Homewood Drive, Mentor, OH 44060. The listed phone number is (440) 622-4834.

What is Kelly Goodrick's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Goodrick was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.