| Dr Kevin L Goben, DC | |
|
700 Gagel Ave, Louisville, KY 40216-4008 | |
| (502) 366-7386 | |
| (502) 366-2222 |
| Full Name | Dr Kevin L Goben |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 32 Years |
| Location | 700 Gagel Ave, Louisville, Kentucky |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275535585 | NPI | - | NPPES |
| 350036040 | Other | KY | UNITED RAILROAD MEDICARE |
| 1131052 | Other | KY | PASSPORT |
| 611274059A12 | Other | KY | ANTHEM SENIOR |
| 000000050861 | Other | KY | ANTHEM |
| 85041663 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4166 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goben Chiropractic Offices, Pllc | 9830129394 | 2 |
| Provider Name | Goben Chiropractic Offices, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871595165 PECOS PAC ID: 9830129394 Enrollment ID: O20050816000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin L Goben, DC 700 Gagel Ave, Louisville, KY 40216-4008 Ph: (502) 366-7386 | Dr Kevin L Goben, DC 700 Gagel Ave, Louisville, KY 40216-4008 Ph: (502) 366-7386 |
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