Individual
DR. KEN EVAN GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
400D HOSPITAL DR, WARRENTON, VA 20186-3026
(540) 347-9393
(540) 347-9398
Mailing address
400D HOSPITAL DR, WARRENTON, VA 20186-3026
(540) 347-9393
(540) 347-9398
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000671
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9302158
—
VA
Enumeration date
11/29/2005
Last updated
09/30/2008
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