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NPI Code Detail

MEDICARE: EMMA ANN GOULD

MEDICARE: EMMA ANN GOULD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1245032101
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA ANN GOULD
Provider Business Mailing Address
First Line : 2603 N 32ND ST
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-2032
Country : US
Telephone Number : 816-646-3459
Fax Number :
Provider Business Practice Location Address
First Line : 2603 N 32ND ST
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-2032
Country : US
Telephone Number : 816-646-3459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2025
Last Update Date : 03/24/2025

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Directions to “ EMMA ANN GOULD ” Practice Location

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