Kyle Goham
Kyle Goham is an Anesthesiology Assistant in Menomonee Falls, Wisconsin. Qualified in 2013, 13 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group and accepts Medicare assignment. Licensed in Georgia and Wisconsin.
- Years since qualifying
- 13
- Licensed in
- GA, WI
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
W180N8085 Town Hall Rd Dept OF AnesthesiologyMenomonee Falls, WI 53051-3518
Phone: (262) 257-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiologist Assistant (primary) | Taxonomy 367H00000X · Licence 7717 (WI) |
|---|---|
| Anesthesiologist Assistant | Taxonomy 367H00000X · Licence 006981 (GA) |
Record details
| NPI number | 1942638325 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 23, 2013 |
| Last updated in NPPES | June 22, 2016 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | The Medical College Of Wisconsin Inc — 2093 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Menomonee Falls
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Ammar Haq, AA
W180N8085 Town Hall Rd Anesthesiology, Menomonee Falls, WI 53051-3518 · (262) 257-5100
-
Martha Rocio Hernandez-Krummel, CAA
W180N8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 · (262) 257-5100
-
Ann-Michael Holland, AA-C
W180N8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 · (262) 257-5100
-
David R Howard, AA
W180N8085 Town Hall Rd Dept OF Anesthesiology, Menomonee Falls, WI 53051-3518 · (262) 257-5100