Individual
ALAN K GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
320 WHITTINGTON PKWY, STE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Mailing address
320 WHITTINGTON PKWY, STE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
051675
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3158520
BCBS NUMBER
TN
05
—
3631189
—
TN
05
—
74002585
—
KY
Enumeration date
07/28/2005
Last updated
03/23/2016
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