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Individual

CARRIE MCCOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8727
(606) 523-8521
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3003009
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3003009
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78003415
KY
Enumeration date
12/14/2006
Last updated
03/17/2018
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