Provider Demographics
NPI:1477088110
Name:GOBLE, ADAM LEE (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:LEE
Last Name:GOBLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:375 DIXMYTH AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2475
Mailing Address - Country:US
Mailing Address - Phone:513-862-2563
Mailing Address - Fax:513-862-4980
Practice Address - Street 1:1115 WOODLAND DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2749
Practice Address - Country:US
Practice Address - Phone:270-769-5963
Practice Address - Fax:270-769-9051
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-01
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY55482207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology