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General NPI Number Information
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NPI Number | 1386707057
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Entity Type | Individual
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Provider Name | CAMILLE COWNE M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 13029 STOCKDALE HWY UNIT 400
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City | BAKERSFIELD
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State | CA
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Zip | 93314-9595
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Country | US
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Telephone | 661-550-2335
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Fax |
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Provider Business Mailing Address
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Address Line | 13029 STOCKDALE HWY UNIT 400
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City | BAKERSFIELD
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State | CA
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Zip | 93314-9595
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Country | US
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Telephone | 619-694-7550
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 97022
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A97022
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License Number State | CA
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