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Individual

CATHERINE GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C,APRN

Contact information

Practice address
4001 KRESGE WAY, SUITE 130, LOUISVILLE, KY 40207-4640
(502) 896-8447
(502) 896-8699
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 253-1035
(502) 253-1037

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3004708
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3004708
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000711321
ANTHEM
KY
05
78017423
KY
Enumeration date
08/24/2006
Last updated
03/03/2016
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