| Doctor Name: | KACI GOODGAME |
| NPI Number: | 1821442963 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LDN |
| License Number: | LDN0000003000 |
| Business Practice Address: | 353 New Shackle Island Rd Suite 122 B Hendersonville, TN - 370752379 |
| Business Phone Number: | 6158242014 |
| Business Fax Number: | 8555404722 |
| Mailing Address: | 131 Saundersville Rd, Suite 160 HENDERSONVILLE |
| State: | TN |
| Postal Code: | 370758903 |
| Phone Number: | 6158243737 |
| Fax Number: | 8555404722 |
| NPI Enumeration Date: | 04/14/2016 |
| NPI Last Update Date: | 04/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LDN0000003000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |