Kevin C Kowalski, L.D.

Primary specialty

DenturistTaxonomy code 122400000X

License

0254 Issued in WA

Practice address

1521 Leigh Way
Suite a
Mount Vernon, WA 98273-2403

Phone

(360) 848-7614

Fax

(360) 848-6355

NPI assigned

Jun 4, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306048111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 LEIGH WAY",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732403",
            "telephone_number": "360-848-7614",
            "fax_number": "360-848-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 LEIGH WAY",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732403",
            "telephone_number": "360-848-7614",
            "fax_number": "360-848-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "L.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "0254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "891432",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5032990",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Konopik, PEER COUNSELOR
• Ketarae Ann Konshuk, LMP
• Sarah Lisa Kotlerman, DC
• Emily Koty
• Ivona Kovacevic, MD
• Jordan James Kramer, MD
• Carol Herzig Krampetz, MSW, LICSW
• David Alan Krass III, ARNP
• Evelina Kravchuk, PA-C
• James Oren Krell, RPH

• Denturist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.