| Doctor Name: | MR. KEN GOON |
| NPI Number: | 1326468083 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2013019065 |
| Business Practice Address: | 273 Billings St North Quincy, MA - 021711803 |
| Business Phone Number: | 6176863746 |
| Business Fax Number: | |
| Mailing Address: | 273 Billings St, NORTH QUINCY |
| State: | MA |
| Postal Code: | 021711803 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2014 |
| NPI Last Update Date: | 04/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 2013019065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |