NPI 1710071196

Kevin Goodluck, MD

Practitioner Phlebology Physician Albuquerque, NM

Practice location

Address: 4600 Montgomery Blvd NE Bldg B, STE 100, Albuquerque, NM 87109
Phone: (505) 924-5840
Fax: (505) 924-5841
Mailing address: PO Box 91224, Albuquerque, NM 87199-1224

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 97-251 (NM)

Other Phlebology providers in New Mexico →

Registry record

NPI: 1710071196
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 12 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.