Individual
KENNETH GOODHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
250 COLLEGE AVE, LANCASTER, PA 17601
(717) 291-8211
Mailing address
250 COLLEGE AVE, LANCASTER, PA 17603-3363
(717) 291-8211
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN255327L
PA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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