Kelly G Cowan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

J6392 Issued in TX

Practice address

16019 Via Shavano
San Antonio, TX 78249-2370

Phone

(210) 696-9292

Fax

(210) 690-8815

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1275644007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16019 VIA SHAVANO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492370",
            "telephone_number": "210-696-9292",
            "fax_number": "210-690-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16019 VIA SHAVANO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492370",
            "telephone_number": "210-696-9292",
            "fax_number": "210-690-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "KELLY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J6392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127461505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Covey, ND
• Chere Rae Smith Covin, MD
• Andrea Louise Covington, M.D.
• Cody J Covington, M.D.
• James Edward Cowan, PT, DSC, OCS,FAAOMPT
• Traci Cowan, DDS
• Cody Lloyd Cowart, PA
• Robert Walter Cowart II, RN
• Thesha Tanika Cowart, LPC
• Clinton Cowles Jr.

• Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.