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Individual

THOMAS JOSEPH GOODENOW

Active
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Individual

THOMAS JOSEPH GOODENOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
18990
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64189905
—
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
07/05/2006
Last updated
11/02/2007
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