Individual
DR. KENNETH GEORGE FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3000
(623) 207-3717
Mailing address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
23652
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G-042072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23652
MEDICAL LIC
AZ
01
—
DR.0053599
MEDICAL LIC
CO
01
—
G-042072
MED LIC
CA
Enumeration date
11/15/2005
Last updated
11/10/2015
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