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Individual
KEVIN H. COWELL
Active
Individual
KEVIN H. COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2199
ME
207Q00000X
Family Medicine Physician
5101016284
MI
207Q00000X
Family Medicine Physician
Primary
OS010872L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131390
PHP OF SW MICHIGAN
MI
01
—
0851222234
BCBSM
MI
05
—
114701167
—
MI
01
—
2199
STATE LICENSE NUMBER
ME
05
—
4701167
—
MI
01
—
KC016284
STATE LICENSE NUMBER
MI
Enumeration date
06/12/2006
Last updated
02/19/2024
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