Individual
MR. SENECA C MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 BRECKENRIDGE LN STE 300, LOUISVILLE, KY 40220-1779
(502) 259-3341
(502) 259-3342
Mailing address
2800 BRECKENRIDGE LN STE 300, LOUISVILLE, KY 40220-1779
(502) 259-3341
(502) 259-3342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3102
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011189
—
IN
05
—
7100577820
—
KY
Enumeration date
09/29/2017
Last updated
07/17/2024
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