Individual
KELLY GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 925-5309
Mailing address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 925-5309
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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