Individual
KERRY P GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S MCCLELLAN ST STE 200, SPOKANE, WA 99204
(509) 747-1144
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00130951
WA
363L00000X
Nurse Practitioner
Primary
AP60890184
WA
Other
Enumeration date
07/20/2018
Last updated
09/05/2018
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