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Individual

MR. KENNETH W. GOBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
12826 SE 40TH LN, STE. 105, BELLEVUE, WA 98006-4278
(425) 746-0420
(425) 746-1587
Mailing address
12826 SE 40TH LN, STE. 105, BELLEVUE, WA 98006-4278
(425) 746-0420
(425) 746-1587

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2050
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2006054
WA
01
93335
LABOR & INDUSTRIES
WA
Enumeration date
11/06/2006
Last updated
05/01/2013
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