Individual
DR. KENNETH M GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
402 MIDDLETOWN BLVD, SUITE 210, LANGHORNE, PA 19047-1818
(215) 750-8006
(215) 750-8007
Mailing address
9823 DUNGAN RD, PHILADELPHIA, PA 19115-2201
(215) 969-0099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005180-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043800
CIGNA
PA
01
—
0638217000
PERSONAL CHOICE, KEYSTONE
PA
01
—
11211721
CAQH
PA
Enumeration date
04/10/2006
Last updated
02/08/2017
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