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Individual

ROBERT A GOODIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 897-0093
Mailing address
4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 897-0093

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32999
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000215061
ANTHEM
01
3009542001
CIGNA
05
64045784
KY
01
7443325
AETNA
Enumeration date
11/02/2005
Last updated
06/06/2015
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