Jacob Gowan, MD
Student in an Organized Health Care Education/Training Program in Louisville, KY. Individual provider (NPI-1).
NPI number1952984809
StatusActive
Last updated in NPPESJun 22, 2026
Details
- NPI
- 1952984809
- Entity type
- Individual (NPI-1)
- Name
- Jacob Gowan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2021
- Certification date
- Jun 22, 2026
- Last updated
- Jun 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
530 S Jackson StLouisville, KY 40202-1675
Phone 502-852-6191
Mailing address
323 E Chestnut StLouisville, KY 40202-1823
Phone 502-852-6191
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