Mcgowan, Kelly Eileen

Mcgowan, Kelly Eileen is an individual health care provider with primary practice located at 2171 Jericho Tpke , Commack NY 11725-2937. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcgowan, Kelly Eileen can be contacted via phone (631) 858-2190.

Contact Information

Primary practice address
2171 Jericho Tpke Commack NY 11725-2937
Phone: (631) 858-2190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F349322-01 New York

Profile Details

NPI number 1033842588
LBN Legal business name Mcgowan, Kelly Eileen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2022
Last updated Jul 1st, 2022 - about 4 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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