Basic Information
| Provider Information | |||||||||
| NPI: | 1427135102 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GOHEEN | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1004 CARONDELET DR | ||||||||
| Address2: | SUITE 410 | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641144802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8163896100 | ||||||||
| FaxNumber: | 8163896150 | ||||||||
| Practice Location | |||||||||
| Address1: | 1004 CARONDELET DR | ||||||||
| Address2: | SUITE 410 | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641144802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8163896100 | ||||||||
| FaxNumber: | 8163896150 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | R5957 | MO | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207RP1001X | 0415715 | KS | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.