Kyle Goham
NPI #1942638325 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1942638325
- Entity Type
- Individual
- Name
- Kyle Goham
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Anesthesiologist Assistant
- Enumeration Date
- Oct 23, 2013
- Last Updated
- Jun 22, 2016
Practice Location
- Address
- W180N8085 TOWN HALL RD
- Address 2
- DEPT OF ANESTHESIOLOGY
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051-3518
- Phone
- (262) 257-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiologist Assistant |
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