SearchKentucky224Z00000X

Traci Goodman

NPI 1992124028 · on the registry since 2014

Practice

Address
1521 Wright St
Henderson, KY 42420
Phone
(270) 577-7912

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-16

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