Kelly Gough

NPI #1902764582 in Harrison, New York

Provider Information

NPI Number: 1902764582
Entity Type: Individual
Name: Kelly Gough
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 13, 2026
Last Updated: Jan 13, 2026

Practice Location

Address: 275 NORTH ST
City: Harrison
State: New York
ZIP Code: 10528-1140
Phone: (914) 925-5309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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