Individual
KENNETH KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 HARROUN RD STE 212, SYLVANIA, OH 43560-2146
(419) 776-8000
Mailing address
5300 HARROUN RD STE 212, SYLVANIA, OH 43560-2146
(419) 776-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.2020038374
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/24/2020
Last updated
04/15/2026
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