Kenneth W Goldberg in West Jordan - Internal Medicine
Kenneth W Goldberg - NPI 1356465793
Kenneth W Goldberg is a Internal Medicine in West Jordan, Utah. Kenneth W Goldberg practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kenneth W Goldberg is 1356465793. The last update date is 2009-06-10.
Kenneth W Goldberg's current location address is 3590 W 9000 S Ste 240, West Jordan, Utah. You can contact this provider via phone number 8015692384 and fax number 8015698643. The mailing address for Kenneth W Goldberg is 3590 W 9000 S Ste 240, West Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth W Goldberg |
|---|---|
| Address | 3590 W 9000 S Ste 240, West Jordan, Utah |
| Phone Number | 8015692384 |
| Fax Number | 8015698643 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1356465793 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2009-06-10 |
Provider Mailing Address Detail
| Address | 3590 W 9000 S Ste 240 |
|---|---|
| City | West Jordan |
| State | Utah (UT) |
| Post Code | 840888864 |
| Phone Number | 8015692384 |
| Fax Number | 8015698643 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 369085-1205 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code assigned to Kenneth W Goldberg by the Centers for Medicare & Medicaid Services?
The Kenneth W Goldberg has been issued the NPI (National Provider Identifier) 1356465793, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kenneth W Goldberg's physical address?
The Kenneth W Goldberg is physically located at 3590 W 9000 S Ste 240, in the city of West Jordan, UT, with the postal code 840888864.
What is Kenneth W Goldberg's area of expertise and its corresponding taxonomy classification?
The Kenneth W Goldberg's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1356465793 assigned to Kenneth W Goldberg?
The Kenneth W Goldberg was issued its 1356465793 on 2007-03-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kenneth W Goldberg last refreshed?
The information related to the Kenneth W Goldberg, including its address, specialty, and other relevant details, was last updated on 2009-06-10.
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