KEVIN GOODLUCK MD
NPI 1710071196
Phlebology in Albuquerque, NM

Active since October 03, 2006
4600 MONTGOMERY BLVD NE, BLDG B, STE 100, ALBUQUERQUE, NM 87109(505) 924-5840(505) 924-5841 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Dec 29, 2020 (2 updates tracked since 2020).

About Kevin Goodluck Md NPPES

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

KEVIN GOODLUCK MD (NPI 1710071196) is an individual phlebology provider in Albuquerque, New Mexico, licensed in New Mexico (97-251) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1710071196
Entity TypeIndividualMale
Primary Taxonomy202K00000X
Provider Legal NameKEVIN GOODLUCKCredential: MD
Location Address4600 MONTGOMERY BLVD NE, BLDG B, STE 100Albuquerque, NM 87109
Mailing AddressPo Box 91224Albuquerque, NM 87199-1224 · (505) 924-5840 · Fax (505) 924-5841
Fax(505) 924-5841
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1710071196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhlebologyAllopathic & Osteopathic Physicians
Taxonomy Code202K00000X
License Licensed in NM · 97-251
Definition
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
4600 MONTGOMERY BLVD NE, Albuquerque, NM 87109

Other Identifiers 1

Medicaid81783311NM

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.

Physical Therapist
4600 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Physical Therapist
4600 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Physical Therapist
4600 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Family Medicine
4600 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Physical Therapist
4600 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Occupational Therapist (Hand)
4600 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Mechanotherapist
4600 MONTGOMERY BLVD NE, SUITE 100
ALBUQUERQUE, NM 87109
Physical Therapist
4600 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Goodluck's NPI number?

The NPI number for Kevin Goodluck is 1710071196. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Kevin Goodluck located?

Kevin Goodluck practices at 4600 Montgomery Blvd NE Bldg B, Ste 100, Albuquerque, NM 87109. The listed phone number is (505) 924-5840.

What is Kevin Goodluck's specialty?

The primary specialty registered for this NPI is Phlebology with taxonomy code 202K00000X.

When was this NPI record last updated?

The NPPES record for Kevin Goodluck was last updated on January 12, 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.