Goolsby, Kenneth E.
Goolsby, Kenneth E. is an individual health care provider with primary practice located at 200 S Enota Dr Ne , Gainesville GA 30501-3473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Goolsby, Kenneth E. can be contacted via phone (770) 534-8832.Contact Information
Primary practice address
200 S Enota Dr Ne
Gainesville GA 30501-3473
Phone: (770) 534-8832
Fax: (770) 531-7479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 025162 | Georgia |
Profile Details
| NPI number | 1366457012 |
|---|---|
| LBN Legal business name | Goolsby, Kenneth E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1366457012 | NPPES |
| Georgia | MEDICAID | 00358586C |
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