Individual
AI LIEN KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 MALLARD CREEK RD, SUITE 320, LOUISVILLE, KY 40207-4194
(502) 690-8782
(502) 459-0923
Mailing address
11438 FRESHWATER RIDGE DR, RIVERVIEW, FL 33569-2060
(502) 424-3867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1092643
KY
363L00000X
Nurse Practitioner
3005008
KY
367500000X
Certified Registered Nurse Anesthetist
3005008
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
403331-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000774820
ANTHEM
KY
01
—
200955570
MEDICAID
IN
01
—
50040406
PASSPORT HEALTH PLAN
KY
01
—
7100046960
MEDICAID- NURSE PRACTITIONER PROVIDER NUMBER
KY
01
—
7100215970
MEDICAID- NURSE ANESTHETIST PROVIDER NUMBER
KY
01
—
P01076180
MEDICARE RAIL ROAD
KY
Enumeration date
12/01/2006
Last updated
09/23/2021
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