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KEPONO ALVIS ROSS GOWAN
NPI 1629725536
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since March 10, 2022
SNEADS FERRY RD, CAMP LEJEUNE, NC 28542(910) 451-8155 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kepono Alvis Ross Gowan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEPONO ALVIS ROSS GOWAN (NPI 1629725536) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1629725536
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameKEPONO ALVIS ROSS GOWAN
Location AddressSNEADS FERRY RDCamp Lejeune, NC 28542
Mailing Address229 Clay Hill RdSneads Ferry, NC 28460-9778 · (808) 800-7450
Phone(910) 451-8155
Sole ProprietorNo
Enumeration DateMarch 10, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1629725536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
SNEADS FERRY RD, Camp Lejeune, NC 28542
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kepono Gowan's NPI number?

The NPI number for Kepono Gowan is 1629725536. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Where is Kepono Gowan located?

Kepono Gowan practices at Sneads Ferry Rd, Camp Lejeune, NC 28542. The listed phone number is (910) 451-8155.

What is Kepono Gowan's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Kepono Gowan was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.