Goble, Kathy A

Goble, Kathy A is an individual health care provider with primary practice located at 615 Lilly Rd Ne Ste 200, Olympia WA 98506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Goble, Kathy A can be contacted via phone (360) 413-8413.

Contact Information

Primary practice address
615 Lilly Rd Ne Ste 200 Olympia WA 98506
Fax: (360) 413-8879
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00036203 Washington

Profile Details

NPI number 1316093156
LBN Legal business name Goble, Kathy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 24th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316093156 NPPES
Washington Other 8854434 MEDICARE ID
Washington MEDICAID 8226888 MEDICARE ID

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