Goben Chiropractic Offices, Pllc | |
700 Gagel Ave, Louisville, KY 40216-4008 | |
(502) 366-7386 | |
(502) 366-2222 |
Full Name | Goben Chiropractic Offices, Pllc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 700 Gagel Ave, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871595165 | NPI | - | NPPES |
000000221631 | Other | KY | ANTHEM |
1131052 | Other | KY | PASSPORT |
85002103 | Medicaid | KY | |
000000050861 | Other | KY | ANTHEM |
1136138 | Other | KY | PASSPORT |
85041663 | Medicaid | KY | |
350036040 | Other | KY | UNITED RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4166 (Kentucky) | Primary |
Provider Name | Kevin L Goben |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1275535585 PECOS PAC ID: 4880874510 Enrollment ID: I20110211000535 |
Provider Name | Keith W Kenitzer |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1740282045 PECOS PAC ID: 1850571332 Enrollment ID: I20110216000207 |
Mailing Address | Practice Location Address |
---|---|
Goben Chiropractic Offices, Pllc 700 Gagel Ave, Louisville, KY 40216-4008 Ph: (502) 366-7386 | Goben Chiropractic Offices, Pllc 700 Gagel Ave, Louisville, KY 40216-4008 Ph: (502) 366-7386 |
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