Provider Demographics
NPI:1063001980
Name:GOLDKAMP, CARRIE (VMD, DACVIM)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:
Last Name:GOLDKAMP
Suffix:
Gender:F
Credentials:VMD, DACVIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 PUGH RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1907
Mailing Address - Country:US
Mailing Address - Phone:610-233-9342
Mailing Address - Fax:
Practice Address - Street 1:930 N QUEEN ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2742
Practice Address - Country:US
Practice Address - Phone:717-295-7387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABV010381207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine