Individual
DR. KEVIN THOMAS GOBESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, MPH
Contact information
Practice address
20 YORK ST. YALE-NEW HAVEN HOSPITAL, YALE NEUROLOGY - YNHH (INPATIENT ONLY), NEW HAVEN, CT 06510-3220
(203) 737-1057
Mailing address
20 YORK STREET, LLCI 10TH FLOOR, ROOM 1004, NEW HAVEN, CT 06520
(203) 785-7171
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
62407
CT
2084N0400X
Neurology Physician
61498
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H400348011
MEDICARE
MN
Enumeration date
03/23/2012
Last updated
05/29/2019
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