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NPI profile

KENNETH GOODMAN

NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.

NPI record foundclearNPI API source

Identity

NPI
1851394894
Entity type
NPI-1
Primary taxonomy
1223G0001X
NPI source updated
Jul 08, 2007
Enumeration date
May 23, 2005
Cache fetched
May 05, 2026

NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.

OIG LEIE screening

No current OIG match foundConfidence: none

No OIG LEIE match found in the current imported dataset. Verify against the official OIG source for compliance decisions.

NPI addresses

NPI addresses from the official registry record
PurposeAddressPhone
MAILING2693533700
LOCATION2693533700

FAQ

Practical notes

Does an NPI record validate licensure?

No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.