Provider Demographics
NPI:1629065578
Name:GOULD, KENNETH GEORGE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:GEORGE
Last Name:GOULD
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5307 WESTMINISTER CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-3337
Mailing Address - Country:US
Mailing Address - Phone:281-580-6389
Mailing Address - Fax:281-580-6389
Practice Address - Street 1:5307 WESTMINISTER CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-3337
Practice Address - Country:US
Practice Address - Phone:281-580-6389
Practice Address - Fax:281-580-6389
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OHD3024207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease