Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN GOODLUCK, MD
ActiveKEVIN GOODLUCK, MD is a 202K00000X healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1710071196 is currently active in the NPPES registry. Verify at CMS.
202K00000X · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1710071196
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.852021909422 yrs)
- Last Updated
- Jan 12, 2021
- License
-
97-251 (NM)
Practice Information
- Address
-
4600 MONTGOMERY BLVD NEBLDG B, STE 100ALBUQUERQUE, NM, 87109Browse NM providers · Browse ZIP 87109
- Phone
- 5059245840
- Fax
- 5059245841
- Primary Specialty
-
202K00000X
202K00000X
Other 202K00000X Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| MICHAEL HARDING | MD | 1700970183 |
| CHANDRAN VEDAMANIKAM | M.D. | 1154585990 |
| CHRISTINE SAUNDERS | PA | 1437591823 |
| ISMAEL PEREIRA | PA-C | 1568913911 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.