Gould, Keith Randall

Gould, Keith Randall is an individual health care provider with primary practice located at 301 Tyson Ave , Paris TN 38242-4544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gould, Keith Randall can be contacted via phone (731) 642-1220.

Contact Information

Primary practice address
301 Tyson Ave Paris TN 38242-4544
Phone: (731) 642-1220
Fax: (731) 642-1220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS6352 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS6352 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2660 Tennessee

Profile Details

NPI number 1285659607
LBN Legal business name Gould, Keith Randall
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 3rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285659607 NPPES
Florida MEDICAID 261972500

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