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Individual
HEATHER A GOODALL
Active
Individual
HEATHER A GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005661
KY
363LF0000X
Family Nurse Practitioner
Primary
AP134790
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000698117
ANTHEM BCBS
KY
05
—
7100099720
—
KY
01
—
P01000559
RAILROAD MEDICARE
KY
Enumeration date
01/02/2009
Last updated
06/18/2026
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