# KENNETH G. COWENS M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679865430
- **Authorized official:** DR. KENNETH GERARD COWENS M.D. (OWNER)
- **Authorized official phone:** (330) 539-9039

## Contact information

- **Practice address:** 162 WILCOX RD, AUSTINTOWN, OH 44515-4240
- **Practice address phone:** (330) 207-1773
- **Mailing address:** 1920 CHURCHILL RD, SUITE 290, GIRARD, OH 44420-2484
- **Mailing address phone:** (330) 539-9039
- **Mailing address fax:** (330) 539-9039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 35054169 | OH | — |
| 261QU0200X | Urgent Care Clinic/Center | 35054169 | OH | Yes |

## Other

- **Enumeration date:** 05/11/2011
- **Last updated:** 05/11/2011