Individual
BRIAN MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
161 N EAGLE CREEK DR, STE 400, LEXINGTON, KY 40509-9038
(859) 226-0031
(859) 226-0041
Mailing address
161 N EAGLE CREEK DR, STE 400, LEXINGTON, KY 40509-9038
(859) 226-0031
(859) 226-0041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1937
KY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100335880
—
KY
Enumeration date
06/09/2014
Last updated
09/03/2020
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