Individual
DR. RICHARD A KOWALCZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1528 BRICE ROAD, REYNOLDSBURG, OH 43068
(614) 864-2000
(614) 864-9121
Mailing address
1528 BRICE ROAD, REYNOLDSBURG, OH 43068
(614) 864-2000
(614) 864-9121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
859
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0456279
—
OH
Enumeration date
11/15/2006
Last updated
07/08/2007
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