Kenneth Goldman, is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Kenneth Goldman is licensed to practice in * (Not Available) (license number ) and his current practice location is
4718 Hearne Ave, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 828-1521.
NPI number for Kenneth Goldman is 1891406245 and his current mailing address is 4718 Hearne Ave, Shreveport, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891406245.
Healthcare Provider's Profile
Full Name | Kenneth Goldman |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 4718 Hearne Ave, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891406245
- Provider Enumeration Date: 12/07/2022
- Last Update Date: 02/15/2023
Medical Identifiers
Medical identifiers for Kenneth Goldman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891406245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Goldman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kenneth Goldman, 4718 Hearne Ave, Shreveport, LA 71108-2703 Ph: (318) 828-1521 | Kenneth Goldman, 4718 Hearne Ave, Shreveport, LA 71108-2703 Ph: (318) 828-1521 |
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