Individual
KYLE COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 W MAIN ST, HARRISVILLE, WV 26362-1037
(907) 210-0046
Mailing address
420 W MAIN ST, HARRISVILLE, WV 26362-1037
(907) 210-0046
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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