DR. KENNETH L GOOCH M.D.
NPI 1275547564
Family Medicine in Hattiesburg, MS

Q: What is Kenneth Gooch's NPI number?

The NPI number for Kenneth Gooch is 1275547564. It was assigned to this individual provider in the NPPES registry on July 29, 2006. The provider is also known as Dr. Kenneth L Gooch M.D..

Q: What is Kenneth Gooch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Gooch was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 29, 2006

415 S 28TH AVE, HATTIESBURG, MS 39401(601) 264-6000(601) 579-5240 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2021, Jul 20, 2020, Aug 23, 2016 (3 updates tracked since 2016).

On this page

About Dr. Kenneth L Gooch M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH L GOOCH M.D. (NPI 1275547564) is an individual family medicine provider in Hattiesburg, Mississippi, licensed in Mississippi (12115) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1275547564

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KENNETH L GOOCHCredential: M.D.

Location Address415 S 28TH AVEHattiesburg, MS 39401-7246

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 264-6000 · Fax (601) 579-5240

Phone(601) 264-6000

Fax(601) 579-5240

Sole ProprietorNo

Enumeration DateJuly 29, 2006

Last NPPES UpdateMay 4, 20213 updates tracked since enumeration

NPPES CertifiedMay 4, 2021

✔ NPI 1275547564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 12115

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 12115 (MS)

415 S 28TH AVE, Hattiesburg, MS 39401

Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Kenneth L Gooch M.d.

Other Identifiers 2

Medicaid00111737MS

Other5360131MS · Aetna

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FRANK JOSEPH HUX DO

Neurological Surgery