Mcgowan, Kerry Kaye

Mcgowan, Kerry Kaye is an individual health care provider with primary practice located at 411 E Chestnut St # 4B , Louisville KY 40202-1713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Mcgowan, Kerry Kaye can be contacted via phone (502) 588-3600.

Contact Information

Primary practice address
411 E Chestnut St # 4B Louisville KY 40202-1713
Phone: (502) 588-3600
Fax: (502) 588-9536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 46284 Kentucky

Profile Details

NPI number 1235331984
LBN Legal business name Mcgowan, Kerry Kaye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Oct 26th, 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 1235331984 NPPES
Indiana MEDICAID 201176390
Indiana MEDICAID 7100246520

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