| Kim E. Goldman, D.m.d. | |
|
210 E Gray St Suite 800 Louisville KY 40202-3900 | |
| (502) 582-3750 | |
| (502) 582-3752 |
| Full Name | Kim E. Goldman, D.m.d. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 210 E Gray St, Louisville, Kentucky |
| Authorized Official Name and Position | Tabitha Burnett (OFFICE MANAGER) |
| Authorized Official Contact | 5025823750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim E. Goldman, D.m.d. 210 E Gray St Suite 800 Louisville KY 40202-3900 Ph: (502) 582-3750 | Kim E. Goldman, D.m.d. 210 E Gray St Suite 800 Louisville KY 40202-3900 Ph: (502) 582-3750 |
| NPI Number | 1316191026 |
|---|---|
| Provider Enumeration Date | 11/07/2008 |
| Last Update Date | 11/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316191026 | NPI | - | NPPES |
| 64063233 | Medicaid | KY | |
| 60063237 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 06323 (Kentucky) | Primary |
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