Organization
COWELL FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN HERBERT COWELL D.O. (OWNER)
(517) 279-0400
Entity
Organization
Contact information
Practice address
358 E CHICAGO STREET, SUITE 204E, COLDWATER, MI 49036-2072
(517) 279-0400
(517) 279-0949
Mailing address
358 E CHICAGO STREET, SUITE 204E, COLDWATER, MI 49036-2072
(517) 279-0400
(517) 279-0949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016284
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131390
IBA AND PHP
MI
01
—
08-5-12-2223-4
BLUE CROSS BLUE SHIELD
MI
05
—
114701167
—
MI
01
—
1699717512
INDIVIDUAL NPI
MI
01
—
5101016284
STATE LICENSE NUMBER
MI
Enumeration date
02/27/2007
Last updated
03/19/2009
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