Individual
MEKELL GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 MAIN ST, SHELBYVILLE, KY 40065-1224
(859) 254-1035
(859) 254-2075
Mailing address
430 MARSHALL WALK, LOUISVILLE, KY 40214-2632
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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