Individual
NICOLE I GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3581 HARRODSBURG RD STE 350, LEXINGTON, KY 40513-1140
(859) 313-6333
(859) 313-3087
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(859) 313-6333
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
54010
KY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
54010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100681370
—
KY
Enumeration date
04/06/2015
Last updated
03/04/2025
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