KEELEE GOODE


Address: 1027 Jane Dr, Culloden, WV 25510-9512
Phone: 3045466804

KEELEE GOODE (NPI# 1871907865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871907865
Entity Type Individual
Full Name KEELEE GOODE
Credential MT
Practice Address 1027 Jane Dr
Culloden
WV 25510-9512
Practice Telephone 3045466804
Mailing Telephone 3045466804
Enumeration Date 2014-06-17
Last Update Date 2014-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 2005-1660 WV Other Service Providers

Office Location

Street Address 1027 JANE DR
City CULLODEN
State WV
Zip Code 25510-9512

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1255945168 Michael Joseph West Technician 1025 Holley Brook Dr, Culloden, WV 25510-9359 2020-09-08
1174075659 Maggie Collins Specialist/Technologist 1017 Holley Brook Dr, Culloden, WV 25510-9359 2016-10-31
1720569601 Amber Foreman Case Manager/Care Coordinator 2188 Dudding Ln, Culloden, WV 25510-9556 2018-08-28
1427660430 Chelsea Renea Call Technician 139 E 1st St, Culloden, WV 25510-9689 2020-08-20
1043821150 Johnifer Sue Chapman-glagg Technician 2071 Main St, Culloden, WV 25510-9747 2020-08-12
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1356715429 Body Kneads LLC Specialist 19 Main Ave, Logan, WV 25601-3332 2015-11-30
1982071866 Archer Massage and Wellness Specialist 6 Harman Ctr, Grafton, WV 26354-1559 2015-08-27
1003299652 Wmc Physician Practices LLC Specialist 651 Colliers Way Ste 300, Weirton, WV 26062-5058 2015-07-01
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Competitor

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City CULLODEN
Zip Code 25510

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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