# DR. KATHLEEN ANN MCGOWAN

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

## Provider details

- **NPI number:** 1013908763
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35045391M | OH | Yes |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 09/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000118279 | ANTHEM PIN | OH |
| 05 | — | 0513457 | — | OH |
| 01 | — | 180001614 | RAILROAD MEDICARE PROV \# | OH |
| 01 | — | 1846495 | CIGNA PROVIDER NUMBER | OH |
| 01 | — | 311068252-003 | MEDICAL MUTUAL PROVIDER \# | OH |
| 01 | — | 31106825200 | OHIO BWC PROV \# | OH |
| 01 | — | 3110682522001 | BCBS PROVIDER NUMBER | OH |
| 01 | — | 4071068 | AETNA PROVIDER NUMBER | OH |