Provider Demographics
NPI:1356408801
Name:GOLDEN, KENNETH H (MD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:H
Last Name:GOLDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:39 SIMON ST. SUITE 2A
Mailing Address - Street 2:MERRIMACK VALLEY COUNSELING ASSOC.
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3043
Mailing Address - Country:US
Mailing Address - Phone:603-888-4347
Mailing Address - Fax:603-521-8571
Practice Address - Street 1:39 SIMON ST STE 2A
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3046
Practice Address - Country:US
Practice Address - Phone:603-888-4347
Practice Address - Fax:603-521-8571
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA515772084P0800X
NH121022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry