NPI 1003798430
Kale Thomas Goodwin
Practice location
- Address
- 1111 W 17th St, Tulsa, OK 74107-1886
- Phone
- (405) 306-6786
- Mailing address
- 1936 S College Ave, Tulsa, OK 74104-6124
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003798430
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jul 2025
- Record last updated
- 25 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.