Provider Demographics
NPI:1386968618
Name:COWDEN, KECIA ANN (ARNP)
Entity type:Individual
Prefix:MS
First Name:KECIA
Middle Name:ANN
Last Name:COWDEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 DES MOINES ST STE 106
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-5547
Mailing Address - Country:US
Mailing Address - Phone:515-265-8200
Mailing Address - Fax:515-262-0045
Practice Address - Street 1:1300 DES MOINES ST STE 106
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-5547
Practice Address - Country:US
Practice Address - Phone:515-265-8200
Practice Address - Fax:515-262-0045
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA073542363LF0000X
IAG163769363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily