Provider Demographics
NPI:1942397864
Name:COWEN, DAVID EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EUGENE
Last Name:COWEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:771 CORPORATE DR
Mailing Address - Street 2:SUITE #460
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-5405
Mailing Address - Country:US
Mailing Address - Phone:859-219-0299
Mailing Address - Fax:859-219-0699
Practice Address - Street 1:771 CORPORATE DR
Practice Address - Street 2:SUITE #460
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-5405
Practice Address - Country:US
Practice Address - Phone:859-219-0299
Practice Address - Fax:859-219-0699
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY26654207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64266547Medicaid
KY1851001Medicare ID - Type Unspecified
KY64266547Medicaid