Provider Information for 1710396221
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
KIMBERLY KOWALIK MS, CRC, CCDPD
Sex: Female
NPI: 1710396221
Last Updated: 2014-08-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1710396221 | ||||||||
| Enumeration Date | 2014-08-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 10 BUIST RD P.O. BOX 1195 MILFORD, PA 18337-9311 United States Phone: 570-296-1054 | Fax:570-296-9227 | ||||||||
| Primary Practice Address | 10 BUIST RD MILFORD, PA 18337-9311 United States Phone: 570-296-1054 | Fax:570-296-9227 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|