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Contact Information

PETER D GOODWIN, MD
580 S LOOP RD
EDGEWOOD, KY41017
 Phone: 859-301-6000
 Fax: 859-301-6010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PETER D GOODWIN · (Male)

NPI Number 1609877547
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2005
Last updated 09/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 16868
  • IN Medicaid 200916660
  • KY Medicaid 64055916
  • OH Medicaid 0255745
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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