Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 39606 | KY |
N | 208000000X | Pediatrician | 39606 | KY |
NPI | 1710976501 |
---|---|
Provider Name | Kara M Goodin |
First Address | Louisville, KY 40202-3827 |
Second Address | Louisville, KY 40202-3827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2005 |
Last Update Date | 12/01/2021 |