Individual
MR. COLE FREDERICK GOODRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
1064 COLINA DR, VILLA HILLS, KY 41017-3741
(859) 620-4914
Mailing address
1064 COLINA DR, VILLA HILLS, KY 41017-3741
(859) 620-4914
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
269855
AZ
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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