Goben, Kevin L
Goben, Kevin L is an individual health care provider with primary practice located at 700 Gagel Ave , Louisville KY 40216-4008. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goben, Kevin L can be contacted via phone (502) 366-7386.Contact Information
Primary practice address
700 Gagel Ave
Louisville KY 40216-4008
Phone: (502) 366-7386
Fax: (502) 366-2222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4166 | Kentucky |
Profile Details
| NPI number | 1275535585 |
|---|---|
| LBN Legal business name | Goben, Kevin L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Mar 17th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275535585 | NPPES |
| Kentucky | Other | 350036040 | UNITED RAILROAD MEDICARE |
| Kentucky | Other | 1131052 | UNITED RAILROAD MEDICARE |
| Kentucky | Other | 611274059A12 | UNITED RAILROAD MEDICARE |
| Kentucky | Other | 000000050861 | UNITED RAILROAD MEDICARE |
| Kentucky | MEDICAID | 85041663 | UNITED RAILROAD MEDICARE |
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