Gowdy, Kenneth Lee

Gowdy, Kenneth Lee is an individual health care provider with primary practice located at 1 Jarrett White Rd , Tripler Army Medical Center HI 96859-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gowdy, Kenneth Lee can be contacted via phone (808) 433-6661.

Contact Information

Primary practice address
1 Jarrett White Rd Tripler Army Medical Center HI 96859-5001
Phone: (808) 433-6661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 24690 Oklahoma
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD204530 Oregon
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2004023916 Missouri
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD-18844 Hawaii

Profile Details

NPI number 1376640045
LBN Legal business name Gowdy, Kenneth Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Mar 19th, 2024 - about 2 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 1376640045 NPPES
Nebraska MEDICAID 10025589200

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