person
Dr. Kenneth L Gooch, MD
Family Medicine Physician in Hattiesburg, Mississippi
NPI 1275547564

Kenneth L Gooch is a Family Medicine Physician based in Hattiesburg, MS. Kenneth L Gooch practices in Hattiesburg, MS and has the professional credentials of MD. The NPI Number for Kenneth L Gooch is 1275547564 and holds a License No. 12115 (Mississippi).

The current practice location address for Kenneth L Gooch is 415 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-264-6000 and via fax at 601-579-5240.

Location: 415 S 28Th Ave, Hattiesburg, MS, 39401-7246
person
Provider Profile Details
NPI Number
1275547564
Provider Name
Kenneth L Gooch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
415 S 28Th Ave, Hattiesburg, MS, 39401-7246
Phone Number
601-264-6000
Fax Number
601-579-5240
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00111737 05 MS
5360131 01 MS AETNA
institution
Provider Business Practice Location Address Details
Address
415 S 28Th Ave
City
State
Zip
39401-7246
Phone Number
601-264-6000
Fax Number
601-579-5240
person
Provider Business Mailing Address Details
Address
415 S 28Th Ave
City
State
Zip
39401-7246
Phone Number
601-264-6000
Fax Number
601-579-5240
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
12115 (Mississippi)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
12115 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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