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Contact Information

KIMBERLY K GOOCH
3907 STATE ROUTE 303
MAYFIELD, KY42066
 Phone: 270-214-0553
 Fax: 844-688-4227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY K GOOCH · (Female)

NPI Number 1699288936
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2017
Last updated 05/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 200406489
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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