Goodluck, Kevin
Goodluck, Kevin is an individual health care provider with primary practice located at 4600 Montgomery Blvd Ne Bldg B, Ste 100, Albuquerque NM 87109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as his primary health care specialty. Goodluck, Kevin can be contacted via phone (505) 924-5840.Contact Information
Primary practice address
4600 Montgomery Blvd Ne Bldg B, Ste 100
Albuquerque NM 87109
Phone: (505) 924-5840
Fax: (505) 924-5841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 97-251 | New Mexico |
Profile Details
| NPI number | 1710071196 |
|---|---|
| LBN Legal business name | Goodluck, Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jan 12th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710071196 | NPPES |
| New Mexico | MEDICAID | 81783311 |
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