Provider Demographics
NPI:1356319354
Name:HOWARD, JOHN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:HOWARD
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2200 E PARRISH AVE
Mailing Address - Street 2:BLD B, STE. 202
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1449
Mailing Address - Country:US
Mailing Address - Phone:270-926-1650
Mailing Address - Fax:270-926-1671
Practice Address - Street 1:2200 E PARRISH AVE
Practice Address - Street 2:BLD B, STE. 202
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1449
Practice Address - Country:US
Practice Address - Phone:270-926-1650
Practice Address - Fax:270-926-1671
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2016-03-02
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Provider Licenses
StateLicense IDTaxonomies
KY24390207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY10804046OtherCAQH
KY000000220261OtherBLUE CROSS/BLUE SHIELD
KY64243900Medicaid
KY110237415OtherRAILROAD MEDICARE
KY207R00000XOtherTAXONOMY
KY18D0975396OtherCLIA
KY000000220261OtherBLUE CROSS/BLUE SHIELD
KY18D0975396OtherCLIA