Individual
DR. KEITH RANDALL GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 TYSON AVE, PARIS, TN 38242-4544
(731) 642-1220
(731) 642-1220
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2660
TN
207P00000X
Emergency Medicine Physician
OS6352
FL
208100000X
Physical Medicine & Rehabilitation Physician
OS6352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261972500
—
FL
Enumeration date
07/13/2006
Last updated
01/03/2019
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