Individual
TIARA LYNN COCHRAN GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
511 MIDDLEBURG ST, LIBERTY, KY 42539-3009
(606) 787-5963
Mailing address
PO BOX 990, DANVILLE, KY 40423-0990
(859) 239-2360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC276
KY
Other
Enumeration date
02/09/2022
Last updated
06/23/2025
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