Individual
FREDERICK GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 689-5775
Mailing address
PO BOX 42917, PHILADELPHIA, PA 19101-2917
(800) 355-0808
(610) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
05-18516
KS
Other
Enumeration date
06/02/2006
Last updated
02/05/2008
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