Individual
MRS. CYNTHIA GOODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
602 KNOX ST, BARBOURVILLE, KY 40906-1304
(606) 546-6027
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009124
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100334730
—
KY
01
—
P01435001
RR MEDICARE
KY
Enumeration date
12/29/2014
Last updated
12/03/2020
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