Individual
KAITLYN LEANNE GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5096
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 655-2124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11179
KY
Other
Enumeration date
06/07/2024
Last updated
07/02/2025
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