Individual
KENNETH GRAYSON GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
(305) 558-2500
Mailing address
9172 DAYFLOWER DR, OOLTEWAH, TN 37363-6930
(423) 762-7083
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04949
KY
207R00000X
Internal Medicine Physician
04949
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2017
Last updated
07/07/2021
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