Individual
RONDAL GOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 RICHMOND RD STE 201, LEXINGTON, KY 40502-1213
(859) 227-1251
(859) 264-7886
Mailing address
4124 BOONE CREEK RD, LEXINGTON, KY 40509-9712
(859) 227-1251
(859) 264-7886
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26176
KY
207Q00000X
Family Medicine Physician
Primary
26176
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360795
ANTHEM
KY
05
—
7100152730
—
KY
Enumeration date
07/19/2006
Last updated
08/29/2023
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