Kowalski, Kevin C
Kowalski, Kevin C is an sole proprietor health care provider with primary practice located at 1521 Leigh Way Suite A, Mount Vernon WA 98273-2403. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Kowalski, Kevin C can be contacted via phone (360) 848-7614.Contact Information
Primary practice address
1521 Leigh Way Suite A
Mount Vernon WA 98273-2403
Phone: (360) 848-7614
Fax: (360) 848-6355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | 0254 | Washington |
Profile Details
| NPI number | 1306048111 |
|---|---|
| LBN Legal business name | Kowalski, Kevin C |
| Credentials | L.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306048111 | NPPES |
| Washington | Other | 891432 | UNITED CONCORDIA |
| Washington | MEDICAID | 5032990 | UNITED CONCORDIA |
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