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KIDS CARE MEDICAL CENTER NPI 1346649894


NPI Information

NPI: 1346649894
Provider Name: KIDS CARE MEDICAL CENTER

Other Name: JAMES L. COWAN, M. D.

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
6073 MT MORIAH RD EXT
SUITE 2
MEMPHIS, TN
ZIP 38115
Phone: (901) 365-2555
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KIDS CARE MEDICAL CENTER is an adolescent medicine pediatrics in Memphis, TN. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. KIDS CARE MEDICAL CENTER NPI is 1346649894. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is James L. Cowan, M. D..

The provider's business location address is:

6073 MT MORIAH RD EXT
SUITE 2
MEMPHIS, TN
ZIP 38115-666
Phone: (901) 365-2555
Fax: (901) 365-2544

The provider's authorized official is James Langston Cowan .
The authorized official title is Owner and has the following contact phone number (901) 365-2555.

The enumeration date for this NPI number is 8/21/2014 and was last updated on 8/21/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent Medicine21143TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13896594MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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