Provider Demographics
NPI:1649300179
Name:ROWEN, KATHLYN LAMPER (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLYN
Middle Name:LAMPER
Last Name:ROWEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3521 SILVERSIDE RD
Mailing Address - Street 2:QUILLEN 2C
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810
Mailing Address - Country:US
Mailing Address - Phone:302-529-5760
Mailing Address - Fax:302-529-5763
Practice Address - Street 1:3521 SILVERSIDE RD
Practice Address - Street 2:QUILLEN 2C
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810
Practice Address - Country:US
Practice Address - Phone:302-529-5760
Practice Address - Fax:302-529-5763
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC100031662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE82601Medicaid
E35127Medicare UPIN
DE82601Medicaid