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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN GOODLUCK, MD

Active

KEVIN 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 NE
BLDG B, STE 100
ALBUQUERQUE, NM, 87109
Browse 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.