Provider Demographics
NPI:1790958148
Name:GOOSLIN, KAREN DENISE (DO)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:DENISE
Last Name:GOOSLIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-1916
Mailing Address - Country:US
Mailing Address - Phone:606-432-8424
Mailing Address - Fax:
Practice Address - Street 1:2662 KING KELLY COLEMAN HIGHWAY
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:KY
Practice Address - Zip Code:41666
Practice Address - Country:US
Practice Address - Phone:606-358-4211
Practice Address - Fax:606-358-4215
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03292207R00000X
VA0102202567207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine