Individual provider · Type 1 NPI

Ketch Cowan

Student in an Organized Health Care Education/Training Program · Portland, ME

NPI number 1457934192 Active

Practice location

338 Stevens Ave
Portland, ME 04103-2605

Call (207) 691-1992 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457934192

Ketch Cowan's National Provider Identifier is 1457934192, issued on Apr 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, ME. The record was last updated on Apr 30, 2021.