Individual
MR. KEVIN ALAN GOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3922
Mailing address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
(915) 204-2337
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
123
TN
Other
Enumeration date
01/16/2008
Last updated
10/04/2021
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