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Individual

CHRISTI M GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6420 DUTCHMANS PKWY STE 200, LOUISVILLE, KY 40205-3373
(502) 891-8300
(502) 891-8338
Mailing address
6801 DIXIE HWY, STE 130, LOUISVILLE, KY 40258-3913
(502) 585-4321
(502) 587-8306

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
10000576A
IN
363AM0700X
Medical Physician Assistant
Primary
PA675
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95002119
KY
Enumeration date
10/07/2005
Last updated
07/21/2022
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