Individual
MS. KYLIE JO GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5410 NE WINDERMERE RD, SEATTLE, WA 98105-2161
(517) 745-2744
Mailing address
5523 SEAVIEW AVE NW STE A, SEATTLE, WA 98107-3381
(517) 745-2744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28269452A
IN
Other
Enumeration date
11/18/2024
Last updated
11/19/2024
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