Individual
MRS. KIMBERLY KAYE GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3907 STATE ROUTE 303, MAYFIELD, KY 42066
(270) 214-0553
(844) 688-4227
Mailing address
3907 STATE ROUTE 303, MAYFIELD, KY 42066-7100
(270) 214-0553
(844) 688-4227
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200406489
KY
Other
Enumeration date
11/08/2017
Last updated
05/17/2018
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