Organization
DRS GODFREY GODFREY & EKLUND PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J NADEAU (OFFICE MANAGER)
(270) 769-1049
Entity
Organization
Contact information
Practice address
914 N DIXIE AVE, STE 304, ELIZABETHTOWN, KY 42701-2520
(270) 769-1049
(270) 735-1978
Mailing address
914 N DIXIE AVE, STE 304, ELIZABETHTOWN, KY 42701-2520
(270) 769-1049
(270) 735-1978
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
KY
363A00000X
Physician Assistant
PA816
KY
363LF0000X
Family Nurse Practitioner
3006944
KY
Other
Enumeration date
11/01/2005
Last updated
06/16/2015
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