Individual
CAROL GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 MUD LN, LOUISVILLE, KY 40229-2870
(502) 962-0710
(502) 962-0711
Mailing address
5001 MUD LN, LOUISVILLE, KY 40229-2870
(502) 962-0710
(502) 962-0711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009527
KY
Other
Enumeration date
07/10/2015
Last updated
10/27/2015
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