Kenneth E Goodrum LCDC

  • NPI 1194028639
According to our database, the NPI number for Kenneth E Goodrum LCDC is 1194028639 and activated since 13 years ago. Kenneth E Goodrum LCDC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 3031 Ih 10 W, San Antonio, TX 78201. You can also contact Kenneth E Goodrum LCDC via telephone number is (210) 731-1300. Provider NPI information was last updated on 12/06/2010.

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Overview of Kenneth E Goodrum LCDC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/06/2010
  • Last updated: 12/06/2010

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 10840
  • License State: TX

Provider Mailing Address

  • Address: 3031 Ih 10 W
    San Antonio, TX 78201
  • Phone: 210-731-1300
  • Fax: 210-731-1385

Provider Practice Location

  • Address: 3031 Ih 10 W
    San Antonio, TX 78201
  • Phone: 210-731-1300
  • Fax: 210-731-1385

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 10840
  • License State: TX
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth E Goodrum LCDC?
  • A: The npi number for Kenneth E Goodrum LCDC is 1194028639.
  • Q: What are Kenneth E Goodrum LCDC's specialties?
  • A: Kenneth E Goodrum LCDC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Kenneth E Goodrum LCDC?
  • A: The medical license number for Kenneth E Goodrum LCDC is 10840 and issued in TX in USA.
  • Q: Where is Kenneth E Goodrum LCDC practice location?
  • A: Kenneth E Goodrum LCDC is practicing at 3031 Ih 10 W, San Antonio, TX 78201.
  • Q: How to contact Kenneth E Goodrum LCDC?
  • A: You can contact Kenneth E Goodrum LCDC via 210-731-1300.