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NPI Code Detail

MEDICARE: JOHN PATRICK COWLEY MD

MEDICARE: JOHN PATRICK COWLEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician21391KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154321958
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN PATRICK COWLEY MD
Provider Business Mailing Address
First Line : PO BOX 34748
Second Line :
City : LOUISVILLE
State : KY
Zip : 40232-4748
Country : US
Telephone Number : 502-259-5391
Fax Number : 502-259-9733
Provider Business Practice Location Address
First Line : 4000 KRESGE WAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-4605
Country : US
Telephone Number : 502-259-5391
Fax Number : 502-259-9733
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 05/13/2009

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