Individual
MR. MARK A. GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
60 S STEWART RD, CORBIN, KY 40701-4675
(606) 528-9770
(606) 528-9769
Mailing address
4071 TATES CREEK CENTRE DR, SUTIE 202, LEXINGTON, KY 40517-3062
(606) 528-9770
(606) 528-9769
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004618
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78015799
—
KY
01
—
P00884115
RR MEDICARE
KY
Enumeration date
04/05/2006
Last updated
07/07/2014
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