Individual
MS. LINDA KAYE GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
401 E CHESTNUT ST UNIT 310, SUITE 303, LOUISVILLE, KY 40202-5703
(502) 588-4600
(502) 588-4693
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006017
KY
363LA2200X
Adult Health Nurse Practitioner
3006017
KY
363LA2200X
Adult Health Nurse Practitioner
6017P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000814494
ANTHEM - NCMA
MA
01
—
147121
SIHO - NCMA
KY
05
—
201161420
—
IN
01
—
50051474
PASSPORT - NCMA
KY
05
—
7100247060
—
KY
Enumeration date
06/25/2009
Last updated
08/17/2015
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