Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEAN GIRESSE GOUE
Active Sole ProprietorKEAN GIRESSE GOUE is a Peer Specialist healthcare provider located in SOUTH SALT LAKE, Utah. NPI 1962251819 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · SOUTH SALT LAKE, UT
Registration Details
- NPI Number
- 1962251819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2024 (2.0644637374759 yrs)
- Last Updated
- May 14, 2024
- License
-
F24-112840 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
177 W PRICE AVESOUTH SALT LAKE, UT, 841154345Browse UT providers · Browse ZIP 84115
- Phone
- 8015034369
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in SOUTH SALT LAKE, UT
| Name | Credential | NPI |
|---|---|---|
| ALICIA BROWN | — | 1386005908 |
| OWEN REYNOLDS ASHTON | — | 1083199533 |
| ANTONIO GONZALES | — | 1194346205 |
| EUSTOLIA CORDOVA | CPSS | 1083289516 |
| SAMUEL MARQUEZ | CPSS | 1235898297 |
| PEDRO RICO | CPSS | 1700545761 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.