SearchKentucky225700000X

Anisha Goodman

NPI 1659700722 · on the registry since 2013 · sole proprietor

Practice

Address
2607 Pioneer Rd
Louisville, KY 40216
Phone
(502) 407-1625

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky