Provider Demographics
NPI:1881056893
Name:GOODSELL, LAURA HENCH (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:HENCH
Last Name:GOODSELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:900 S LIMESTONE
Mailing Address - Street 2:CTW 304
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-7001
Mailing Address - Country:US
Mailing Address - Phone:859-323-6642
Mailing Address - Fax:859-323-1200
Practice Address - Street 1:UNIVERSITY OF KENTUCKY
Practice Address - Street 2:800 ROSE STREET
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-257-1000
Practice Address - Fax:859-323-1200
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYR4090207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine