Individual
MR. GEOFFREY PATRICK MCGOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP, ENP, CEN
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536-1793
(859) 323-5901
Mailing address
800 ROSE ST RM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
(859) 323-8056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18844
SC
363L00000X
Nurse Practitioner
20527
TN
363L00000X
Nurse Practitioner
MCGO-DPB4NY
NC
363LF0000X
Family Nurse Practitioner
Primary
3014126
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100651530
—
KY
01
—
SC46219169
SC MEDICARE
SC
Enumeration date
06/04/2014
Last updated
06/30/2021
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