Individual
KEVIN MATTHEW NOWAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 652-3000
Mailing address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 652-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS022359
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT019834
PA
Other
Enumeration date
05/01/2020
Last updated
06/26/2023
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