Individual
CAROL SUE MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APRN-BC, ADM--BC
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-4308
Mailing address
409 COMANCHE CT, SHELBYVILLE, KY 40065-1980
(502) 633-1493
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3671P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3671P
ARNP LICENSE #
KY
Enumeration date
12/30/2006
Last updated
07/08/2007
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