Cowgill, Jeremy Lee

Cowgill, Jeremy Lee is an individual health care provider with primary practice located at 7450 Kessler St Ste 140 , Merriam KS 66204-2519. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Cowgill, Jeremy Lee can be contacted via phone (913) 362-8317.

Contact Information

Primary practice address
7450 Kessler St Ste 140 Merriam KS 66204-2519
Phone: (913) 362-8317
Fax: (913) 362-0169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01380 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1501380 Kansas

Profile Details

NPI number 1164735494
LBN Legal business name Cowgill, Jeremy Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2010
Last updated Jan 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164735494 NPPES
Kansas MEDICAID 200674450C

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