Basic Information
| Provider Information | |||||||||
| NPI: | 1144382748 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DOWLING | ||||||||
| FirstName: | MARY | ||||||||
| MiddleName: | |||||||||
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| Credential: | MIDWIFE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 234 MEDICAL CIRCLE | ||||||||
| Address2: | |||||||||
| City: | MOREHEAD | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403511181 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6067846641 | ||||||||
| FaxNumber: | 6067802373 | ||||||||
| Practice Location | |||||||||
| Address1: | 234 MEDICAL CIRCLE | ||||||||
| Address2: | |||||||||
| City: | MOREHEAD | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403511181 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6067846641 | ||||||||
| FaxNumber: | 6067802373 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | 201M LIC 1032981 | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.