Goodin, Nicole I

Goodin, Nicole I is an individual health care provider with primary practice located at 3581 Harrodsburg Rd Ste 350 , Lexington KY 40513-1140. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Goodin, Nicole I can be contacted via phone (859) 313-6333.

Contact Information

Primary practice address
3581 Harrodsburg Rd Ste 350 Lexington KY 40513-1140
Phone: (859) 313-6333
Fax: (859) 313-3087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 54010 Kentucky
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 54010 Kentucky

Profile Details

NPI number 1336534437
LBN Legal business name Goodin, Nicole I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2015
Last updated Aug 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336534437 NPPES
Kentucky MEDICAID 7100681370

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