Individual
KENNETH ALLEN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
541 W MAIN ST STE 150, LEWISVILLE, TX 75057-3666
(972) 420-8500
(972) 221-6302
Mailing address
541 W MAIN ST STE 150, LEWISVILLE, TX 75057-3666
(972) 420-8500
(972) 221-6302
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
F 4843
TX
Other
Enumeration date
09/01/2006
Last updated
04/24/2017
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