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Shaun Goulbourne (PHYSICAL THERAPIST)

Mr. Shaun Goulbourne (PHYSICAL THERAPIST) is a health care provider specializes in Physical Therapist. He is associated with medical group practice FAMILY MEDICAL CENTER OF HART CO.

profile-icon Basic Information

Practice Location 1485 S Dixie St, Horse Cave, KY 42749-1457, US
Practice Location Phone270-786-4551
Practice Location Fax270-786-4551
GenderMale
Specialty InPhysical Therapist
Medical SchoolUniversity Of Kentucky College Of Medicine
Graduation Year1995
NPI ?1538299540
PECOS ID2961413570
Enrollment IDI20100918000004
Entity TypeIndividual
Enumeration Date ? Mar 7, 2007
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Shaun Goulbourne

SpecialtySpecializationLicenseLicense State
Physical Therapist 002839Kentucky

Medicare-icon Medicare Participation of Shaun Goulbourne

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Shaun Goulbourne

Medical Group PracticeFamily Medical Center Of Hart Co

legacy-id-icon Legacy Provider IDs of Shaun Goulbourne

Provider IdIssuer StateIssuer TypeIssuer
87001731KentuckyMedicaid