Individual
DR. KENNETH B ROWAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1312 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2462
(573) 634-2694
(573) 634-5241
Mailing address
1312 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2462
(573) 634-2694
(573) 634-5241
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
MO
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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