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Individual

DR. KENNETH REED GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3910 W MAIN STREET, THATCHER, AZ 85552
(928) 348-8997
(928) 348-9088
Mailing address
PO BOX 1206, THATCHER, AZ 85552
(928) 348-8997
(928) 428-8704

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5239
AZ

Other

Enumeration date
03/14/2007
Last updated
01/26/2017
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