Individual
KERRY KAYE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 E CHESTNUT ST # 4B, LOUISVILLE, KY 40202-1713
(502) 588-3600
(502) 588-9536
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
46284
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201176390
—
IN
05
—
7100246520
—
KY
Enumeration date
06/04/2007
Last updated
10/26/2020
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