Kimmy Goyal, M.D.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

57-013906 Issued in OH

Practice address

4879 US Route 68 South
West Liberty, OH 43357

Phone

(937) 465-0080

NPI assigned

Nov 15, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1083895395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 KENT DR",
            "address_2": "APT 6",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119054",
            "telephone_number": "937-539-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 US ROUTE 68 SOUTH",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "43357",
            "telephone_number": "937-465-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "KIMMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OH",
            "license": "57-013906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Anthony Denise
• Erin N Dye, Lisw, LLC
• Jennifer Faber
• Melissa Fortney
• Paulette M Gillig, MD
• Cori Rayanne Grimes
• Rockne E Grimes Jr.
• Steven Alan Grothaus, DO
• Michele J Haines, RN
• Morgan Deanelle Harris

• Rural Health Clinic/Center in West Liberty, OH
• Providers in West Liberty, OH by specialty
• Rural Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.