Individual
GARY MCCOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CCM
Contact information
Practice address
200 BRULE ST, FORT KNOX, KY 40121-6100
(502) 626-9770
Mailing address
200 BRULE ST BLDG 871, FORT KNOX, KY 40121-6100
(502) 626-9770
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1105246
KY
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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