SearchConnecticut106H00000X

Kevon Goodrum

NPI 1831327006 · on the registry since 2009

Practice

Address
46 Ridge Rd
Hamden, CT 06517
Phone
(203) 752-8827

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut