Individual
MICHAEL GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-5956
(859) 323-1080
Mailing address
324 SILVERTON WAY, WINCHESTER, KY 40391-8537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1147177
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3016589
KY
Other
Enumeration date
05/25/2021
Last updated
08/31/2021
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