Individual
DR. CHARLES KEITH GOEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 HEARTLAND RD, SUITE 2800, SAINT JOSEPH, MO 64506-6200
(816) 271-1395
(816) 271-1217
Mailing address
901 HEARTLAND RD, SUITE 2800, SAINT JOSEPH, MO 64506-6200
(816) 271-1395
(816) 271-1217
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R1B80
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08853026
BLUE CROSS BLUE SHIELD
—
01
—
10001058601
COMMUNITY HEALTH PLAN
—
05
—
100142990B
—
KS
01
—
138418
HEALTHLINK
—
05
—
201507803
—
MO
01
—
44054528964506V015
TRICARE/CHAMPUS
—
01
—
4535018
AETNA
—
01
—
465445
CHILDRENS MERCY FAMILY HEALTH
MO
01
—
602290
FIRSTGUARD
—
01
—
P00036087
RR MEDICARE
—
Enumeration date
07/12/2006
Last updated
03/14/2011
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