Individual
KACI GOODGAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 122 B, HENDERSONVILLE, TN 37075-2379
(615) 824-2014
(855) 540-4722
Mailing address
131 SAUNDERSVILLE RD, SUITE 160, HENDERSONVILLE, TN 37075-8903
(615) 824-3737
(855) 540-4722
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LDN0000003000
TN
133V00000X
Registered Dietitian
LDN0000003000
TN
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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