Goldman, Kenneth L

Goldman, Kenneth L is an individual health care provider with primary practice located at 920 18Th St , Columbus GA 31901-1524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goldman, Kenneth L can be contacted via phone (706) 649-6600.

Contact Information

Primary practice address
920 18Th St Columbus GA 31901-1524
Phone: (706) 649-6600
Fax: (706) 649-6614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 014360 Georgia

Profile Details

NPI number 1982678785
LBN Legal business name Goldman, Kenneth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jan 28th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982678785 NPPES
Georgia Other 52022031-003 BCBS
Georgia Other 2350 BCBS
Georgia MEDICAID 000017586A BCBS
Georgia Other 20011741 BCBS

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