Individual
KARA BETH KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
01078801A
IN
208000000X
Pediatrics Physician
Primary
01078801A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017829A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001103550
ANTHEM PTAN
IN
01
—
000001360999
ANTHEM PTAN
IN
05
—
300008659
—
IN
Enumeration date
06/12/2014
Last updated
03/13/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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