Individual
DR. JAMES R GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 403, PADUCAH, KY 42003-3814
(270) 444-3930
(270) 442-5284
Mailing address
PO BOX 8449, PADUCAH, KY 42002-8449
(270) 444-3930
(270) 442-5284
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25389
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050178
ANTHEM
KY
05
—
64253891
—
KY
01
—
830000495
RAILROAD MEDICARE
KY
Enumeration date
05/15/2006
Last updated
09/24/2012
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