Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285966598 Individual Practitioner Male Practitioner

Dr. Kenneth Alan Gough , DC

Chiropractor • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Gough, DC is a registered healthcare professional specializing in Chiropractor in Boise, ID. Practice services are available at 3040 N FIVE MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3040 N Five Mile Rd
Suite C

Boise, ID 837135234

Telephone 2083248484
Fax 2083215084
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
172 Specialists

Practicing in Boise, ID (740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License ID CHIA-1501

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License OR 3994

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1023216710

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2012

Registered at 3040 N FIVE MILE RD, SUITE C, BOISE, ID 837135234 (Tel: 2083248484)

📍
Updated Business Mailing Address April 25, 2012

Registered at 3040 N FIVE MILE RD, SUITE C, BOISE, ID 837135234 (Tel: 2083248484)

👤
Provider Name / Credentials Updated April 25, 2012

Recorded as KENNETH GOUGH, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2012

Chiropractor (License #CHIA-1501 in ID)

🟢
Initial NPI Registration & Enumeration February 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285966598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2010
Last Update: April 25, 2012
Sole Proprietor: Yes

Mailing Address

3040 N Five Mile Rd, Suite C

Boise, ID 837135234

Phone: 2083248484

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.