Individual
PAULA E. GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2100 SE BLUE PKWY, LEES SUMMIT, MO 64063-1007
(913) 428-2900
(913) 428-2951
Mailing address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2001005278
MO
Other
Enumeration date
06/11/2012
Last updated
04/21/2015
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