Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 04-20549 | KS |
NPI | 1104892694 |
---|---|
Provider Name | Dr. Tracy A Cowles |
First Address | Overland Park, KS 66215-2300 |
Second Address | Overland Park, KS 66215-2300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 25/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100160610A | (05) | KS |
100160610F | (05) | KS |
100160610G | (05) | KS |
1104892694 | (05) | MO |
206852717 | (05) | MO |
E24081 | (02) | KS |