Dr KENNETH W GOLDBERG is a male medical professional, specializing in Internal Medicine. He graduated in 1990 from University Of Southern California School Of Medicine.
SANTIBANEZ AGUIRRE PC
1200 E 3900
SALT LAKE CITY
UT
841241300
Tel: 8017835011
| Npi | 1356465793 |
| Pac Id | 7012091911 |
| Professional Enrollment Id | I20080303000292 |
| Last Name | GOLDBERG |
| First Name | KENNETH |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SANTIBANEZ AGUIRRE PC |
| Group Practice Pac Id | 4789807165 |
| Number Of Group Practice Members | 87 |
| Line 1 Street Address | 1200 E 3900 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 841241300 |
| Phone Number | 8017835011 |
| Hospital Affiliation Ccn 1 | 460047 |
| Hospital Affiliation Lbn 1 | ST MARK'S HOSPITAL |
| Hospital Affiliation Ccn 2 | 460060 |
| Hospital Affiliation Lbn 2 | LONE PEAK HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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