Individual
DR. KEITH JOHN KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, DEPARTMENT OF UROLOGY, 4PHC, WASHINGTON, DC 20007-2196
(202) 444-4922
(877) 625-1478
Mailing address
3800 RESERVOIR RD NW, DEPARTMENT OF UROLOGY, 4PHC, WASHINGTON, DC 20007-2196
(202) 444-4922
(877) 625-1478
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D72603
MD
208800000X
Urology Physician
MD040082
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/08/2008
Last updated
07/27/2020
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