Ketch Cowan is a student in an organized health care education training program in Portland, ME. The provider is 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. Ketch Cowan NPI is 1457934192. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
338 STEVENS AVE
PORTLAND, ME
ZIP 04103-605
Phone: (207) 691-1992
The NPI 1457934192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/30/2021 and was last updated on 4/30/2021.