Individual
GORDON C GOWANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
571 S FLOYD ST, #100, LOUISVILLE, KY 40202
(502) 852-7897
(502) 852-2911
Mailing address
571 S FLOYD ST, #100, LOUISVILLE, KY 40202
(502) 852-7897
(502) 852-2911
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
36029
KY
208000000X
Pediatrics Physician
36029
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64021017
—
KY
Enumeration date
01/05/2006
Last updated
01/04/2013
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