# DR. BRANDON COWAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003212630
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | R3971 | KY | — |
| 207Q00000X | Family Medicine Physician | 51005 | KY | Yes |
| 208M00000X | Hospitalist Physician | 01086775A | IN | — |
| 208M00000X | Hospitalist Physician | 51005 | KY | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 11/10/2014
- **Last updated:** 11/17/2021