Organization
BARRY M KOWALIK OD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM MCCOWAN (OFFICE MANAGER)
(859) 236-8093
Entity
Organization
Contact information
Practice address
100 WALTON AVE, DANVILLE, KY 40422-8414
(859) 236-8093
Mailing address
100 WALTON AVE, DANVILLE, KY 40422-8414
(859) 236-8093
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77902591
—
KY
Enumeration date
06/26/2007
Last updated
08/22/2020
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