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Individual

KEVIN DAVID GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
260881
NY
207P00000X
Emergency Medicine Physician
MT189347
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03349066
NY
Enumeration date
07/31/2008
Last updated
03/03/2026
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