Individual
THOMAS A KOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 W MAIN ST STE B, LEBANON, TN 37087-2681
(615) 784-4621
(615) 784-4623
Mailing address
228 W MAIN ST STE B, LEBANON, TN 37087-2681
(615) 784-4621
(615) 784-4623
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
30964
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3832473
—
TN
Enumeration date
09/15/2005
Last updated
01/22/2019
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