Individual
MEREDITH KATHRYN MCCOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 SOUTHPOINT DR, LEXINGTON, KY 40515-6350
(859) 272-1928
(859) 271-9601
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3417
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100967720
—
KY
Enumeration date
06/05/2023
Last updated
06/24/2024
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