Individual
ASHLEY R GOEDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
811 E PARRISH AVE, OWENSBORO, KY 42303-3258
(270) 688-5310
(270) 691-8049
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006858
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000654498
ANTHEM # WITH CHS
KY
05
—
200974340
—
IN
05
—
7100107320
—
KY
Enumeration date
12/08/2009
Last updated
01/25/2017
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