IndividualActive
Jolene Gough
NPI 1013763317 · Personal Care Attendant · Kenai, AK
Jolene Gough is a Personal Care Attendant provider in Kenai, AK (NPI 1013763317).
Provider details
- NPI number
- 1013763317
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1712359 (AK)
Practice location
130 S Willow St Ste 9
Kenai, AK 99611-9107
Phone: (907) 283-0085
Street-level locationGet directions
Mailing address
130 S Willow St Ste 9
Kenai, AK 99611-9107
Registry dates
- Enumerated
- 2024-04-26
- Last updated
- 2024-04-26
- Certified
- 2024-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.