Individual
KORY PATRICK GOUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 ALLEQUIPPA STREET, PITTSBURGH, PA 15219
(412) 822-2222
Mailing address
1123 PORTSMOUTH DR, MCKEESPORT, PA 15133-3707
(412) 980-0068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN664432
PA
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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