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General NPI Number Information
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NPI Number | 1336182039
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Entity Type | Individual
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Provider Name | KENNETH J A LOWN ARNP
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Gender | Male
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1679 EAGLE HARBOR PKWY STE B
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-4816
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Country | US
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Telephone | 904-264-1958
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Fax |
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Provider Business Mailing Address
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Address Line | 12945 SPRING RAIN RD
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City | JACKSONVILLE
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State | FL
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Zip | 32258-5201
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Country | US
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Telephone | 904-501-0216
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | ARNP9267410
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | SP007282
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP9267410
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License Number State | FL
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