Individual
KIMBERLY SUE GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 19TH ST, WHEELING, WV 26003-3715
(304) 234-3500
(304) 845-9977
Mailing address
570 NATIONAL RD, WHEELING, WV 26003-6528
(304) 234-3500
(304) 845-9977
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
66487
WV
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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