Individual
MR. KENNETH W COWARD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1307 W MAIN ST, MEDFORD, OR 97501-2936
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2012
ID
363A00000X
Physician Assistant
Primary
PA208605
OR
Other
Enumeration date
09/27/2021
Last updated
03/19/2024
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