Individual
MR. KENNETH WAYNE GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
901 JONES RD, SPRINGDALE, AR 72762-0875
(479) 306-4957
(479) 750-6622
Mailing address
901 JONES RD, SPRINGDALE, AR 72762-0875
(479) 306-4957
(479) 750-6622
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A01752
AR
Other
Enumeration date
07/18/2006
Last updated
06/18/2012
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