Goodell, Kenneth Thomas

Goodell, Kenneth Thomas is an individual health care provider with primary practice located at 1515 Village Dr Emergency Department, Cottage Grove OR 97424-9700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Goodell, Kenneth Thomas can be contacted via phone (541) 942-0511.

Contact Information

Primary practice address
1515 Village Dr Emergency Department Cottage Grove OR 97424-9700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO150423 Oregon

Profile Details

NPI number 1225164379
LBN Legal business name Goodell, Kenneth Thomas
Credentials KEN GOODELL
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2007
Last updated Nov 10th, 2020 - about 5 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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