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Dianne L Goodale, MD
General Practice Physician in Madisonville, Kentucky
NPI 1497851562

Dianne L Goodale is a General Practice Physician based in Madisonville, KY. Dianne L Goodale practices in Madisonville, KY and has the professional credentials of MD. The NPI Number for Dianne L Goodale is 1497851562 and holds a License No. 32926 (Kentucky).

The current practice location address for Dianne L Goodale is 200 Clinic Dr, Madisonville, KY and can be reached out via phone at 270-825-7200.

Location: 200 Clinic Dr, Madisonville, KY, 42431-1661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497851562
Provider Name
Dianne L Goodale
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
200 Clinic Dr, Madisonville, KY, 42431-1661
Phone Number
270-825-7200
Fax Number
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32926 01 KY LICENSE
000000044287 01 BCBS PROVIDER NUMBER
64329261 05 KY
institution
Provider Business Practice Location Address Details
Address
200 Clinic Dr
City
Madisonville
State
Kentucky
Zip
42431-1661
Phone Number
270-825-7200
Fax Number
person
Provider Business Mailing Address Details
Address
200 Clinic Dr
City
Madisonville
State
Kentucky
Zip
42431-1661
Phone Number
270-825-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
32926 (Kentucky)
Definition
Definition to come...
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