Dr. Alan R Gould
Oral and Maxillofacial Pathology
5805 W Highway 22
Crestwood
, Kentucky 40014-7244
Dr. Alan R Gould
Oral and Maxillofacial Pathology
5805 W Highway 22
Crestwood
, Kentucky 40014-7244
(502) 456-4440
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Alan R Gould
- 1941 Bishop Ln Ste 1018
- Louisville, KY
- Zip : 40218-1928
- Fax : (502) 456-4440
- Phone : (502) 456-6217
Second Address
- Dr. Alan R Gould
- 5805 W Highway 22
- Crestwood, KY
- Zip : 40014-7244
- Fax : (502) 241-2339
- Phone : (502) 241-7116
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0106X | Oral and Maxillofacial Pathology | 12010715A | IN |
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 4925 | KY |
National Provider Identifier
| NPI | 1043229545 |
|---|---|
| Provider Name | Dr. Alan R Gould |
| First Address | Louisville, KY 40218-1928 |
| Second Address | Crestwood, KY 40014-7244 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 22/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200022760 | (05) | IN |
| 2444790000 | PASSPORT ADVANTAGE (01) | KY |
| 6222055 | CIGNA HEALTHCARE (01) | |
| P00155545 | RAILROAD MEDICARE (01) | |
| T53933 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.