All Medicaid billing entities listing GODBERSON, KELLY (NURSE PRACTITIONER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $12K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | KAG PROFESSIONAL NURSE PRACTITIONER IN ADULT HEALTH PLLC | MEDFORD, NY | Adult Health Nurse Practitioner | $12K |