person
Ketch Cowan
Student in an Organized Health Care Education/Training Program in Portland, Maine
NPI 1457934192

Ketch Cowan is a Student in an Organized Health Care Education/Training Program based in Portland, ME. Ketch Cowan practices in Portland, ME. The NPI Number for Ketch Cowan is 1457934192 and holds a License No. (Maine).

The current practice location address for Ketch Cowan is 338 Stevens Ave, Portland, ME and can be reached out via phone at 207-691-1992.

Location: 338 Stevens Ave, Portland, ME, 04103-2605
person
Provider Profile Details
NPI Number
1457934192
Provider Name
Ketch Cowan
Credential
Provider Entity Type
Individual
Gender
Male
Address
338 Stevens Ave, Portland, ME, 04103-2605
Phone Number
207-691-1992
Fax Number
Provider Enumeration Date
04/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
338 Stevens Ave
City
State
Zip
04103-2605
Phone Number
207-691-1992
Fax Number
person
Provider Business Mailing Address Details
Address
338 Stevens Ave
City
State
Zip
04103-2605
Phone Number
207-691-1992
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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