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

MR. KENNETH D. GOOGE, PA-C

Active

MR. KENNETH D. GOOGE, PA-C is a Physician Assistant healthcare provider located in BROOKSVILLE, Florida. NPI 1982690681 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BROOKSVILLE, FL

Registration Details

NPI Number
1982690681
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2005 (20.842164715066 yrs)
Last Updated
Nov 8, 2016
License
PA2452 (FL)

Practice Information

Address
605 LAMAR AVENUE
BROOKSVILLE, FL, 346013211
Browse FL providers · Browse ZIP 34601
Phone
3527969990
Fax
3527962226
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BROOKSVILLE, FL

Name Credential NPI
MR. SEAN DOUGLAS BONNER PA 1639120207
MS. AMANDA RENEA PORTER PA-C 1104853704
SHARON BRUCE PAC 1447266523
JOHN CROGNALE PA 1871682955
SONYA MICHELLE GOODNER PA-C, MPH 1487770939
MRS. STACEY C AZZOLINO PA 1770796625
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.