Provider Demographics
NPI:1033730437
Name:MCDOW, KENNETH VINCENT (RRT-NPS)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:VINCENT
Last Name:MCDOW
Suffix:
Gender:M
Credentials:RRT-NPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 DRIFTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2922
Mailing Address - Country:US
Mailing Address - Phone:908-601-7369
Mailing Address - Fax:732-942-6968
Practice Address - Street 1:6 DRIFTWOOD DR
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2922
Practice Address - Country:US
Practice Address - Phone:908-601-7369
Practice Address - Fax:732-942-6968
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ43ZA001624002278P3900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedNeonatal/Pediatrics