Organization
KENNETH R GOLDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R GOLDA DPM (OWNER)
(405) 691-6694
Entity
Organization
Contact information
Practice address
1522 SW 89TH ST, OKLAHOMA CITY, OK 73159-6307
(405) 691-6694
(405) 691-6404
Mailing address
1522 SW 89TH ST, OKLAHOMA CITY, OK 73159-6307
(405) 691-6694
(405) 691-6404
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
145
OK
Other
Enumeration date
02/27/2008
Last updated
02/28/2008
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