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Individual

DR. KENNETH MICHAEL GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
85 E STATE ROAD 73, SARATOGA SPRINGS, UT 84043-4823
(801) 766-0507
(801) 766-0838
Mailing address
85 E STATE ROAD 73, SARATOGA SPRINGS, UT 84043-4823
(801) 766-0507
(801) 766-0838

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
349688-1202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71957
PEHP
UT
Enumeration date
10/04/2006
Last updated
07/08/2007
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