Individual
MARY K GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SANE
Contact information
Practice address
927 KIRKSVILLE RD, RICHMOND, KY 40475-9765
(859) 661-5565
Mailing address
927 KIRKSVILLE RD, RICHMOND, KY 40475-9765
(859) 661-5565
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1160096
KY
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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