Individual
KELLY COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2781 C.T. SWITZER DRIVE, SUITE 402, BILOXI, MS 39531-4535
(228) 388-0949
Mailing address
3704 SPRINGWOOD LN, OCEAN SPRINGS, MS 39564-5051
(850) 232-4361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R893568
MS
Other
Enumeration date
11/15/2014
Last updated
12/31/2014
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