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Individual

DR. JOHN R GOHEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1004 CARONDELET DR, SUITE 410, KANSAS CITY, MO 64114-4802
(816) 389-6100
(816) 389-6150
Mailing address
1004 CARONDELET DR, SUITE 410, KANSAS CITY, MO 64114-4802
(816) 389-6100
(816) 389-6150

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0415715
KS
207RP1001X
Pulmonary Disease Physician
Primary
R5957
MO

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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