Kornowski, Kevin

Kornowski, Kevin is an individual health care provider with primary practice located at 975 Port Washington Rd , Grafton WI 53024-9201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kornowski, Kevin can be contacted via phone (262) 329-1000.

Contact Information

Primary practice address
975 Port Washington Rd Grafton WI 53024-9201
Phone: (262) 329-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4150 Wisconsin

Profile Details

NPI number 1821513136
LBN Legal business name Kornowski, Kevin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2017
Last updated Nov 30th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821513136 NPPES
Wisconsin MEDICAID 100070137

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