Goldstein, Kenneth H

Goldstein, Kenneth H is an individual health care provider with primary practice located at 2161 Kingsley Ave. Suite 200, Orange Park FL 32073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Goldstein, Kenneth H can be contacted via phone (904) 276-2303.

Contact Information

Primary practice address
2161 Kingsley Ave. Suite 200 Orange Park FL 32073
Phone: (904) 276-2303
Fax: (904) 272-3659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME 37834 Florida

Profile Details

NPI number 1770588733
LBN Legal business name Goldstein, Kenneth H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 28th, 2012 - about 14 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 1770588733 NPPES
Florida Other 4230901 AETNA
Florida MEDICAID 043429900 AETNA
Florida Other 204230 AETNA
Florida Other 55131 AETNA

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