Organization
TRI-STATE HEM-ONC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KENDALL GOEBEL M.D. (PRESIDENT/OWNER)
(606) 325-2221
Entity
Organization
Contact information
Practice address
617 23RD ST, SUITE 19, ASHLAND, KY 41101-2845
(606) 325-2221
(606) 324-1326
Mailing address
617 23RD ST, SUITE 19, ASHLAND, KY 41101-2845
(606) 325-2221
(606) 324-1326
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65925794
—
KY
Enumeration date
05/15/2006
Last updated
07/01/2010
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