Provider Demographics
NPI:1144377425
Name:MCKOWN, CHARLES H JR (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:H
Last Name:MCKOWN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1600 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 3400
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3656
Mailing Address - Country:US
Mailing Address - Phone:304-691-1704
Mailing Address - Fax:304-691-1725
Practice Address - Street 1:1600 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 3400
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3656
Practice Address - Country:US
Practice Address - Phone:304-691-1704
Practice Address - Fax:304-691-1725
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2024-03-30
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Provider Licenses
StateLicense IDTaxonomies
WV084042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology