Individual
KAITLYN MARY MCGOWAN
Active
Individual
KAITLYN MARY MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
202008069NP-PP
OR
363L00000X
Nurse Practitioner
95013322
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
202008069NP-PP
OR
Other
Enumeration date
11/25/2019
Last updated
10/27/2023
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