Individual
DR. KENNETH RAY VANOWEN
Active
Individual
DR. KENNETH RAY VANOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01058864A
IN
2084N0400X
Neurology Physician
04-34475
KS
2084N0400X
Neurology Physician
2007007216
MO
2084N0400X
Neurology Physician
Primary
T0028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200533040A
—
KS
05
—
207435009
—
MO
01
—
P00427020
MEDICARE RR PIN
—
Enumeration date
02/24/2007
Last updated
09/25/2024
Update your record
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