Individual
DR. MICHAEL ROBERT KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8006 SHEPHERDSVILLE RD, LOUISVILLE, KY 40219-4050
(502) 964-9800
(502) 964-1847
Mailing address
8006 SHEPHERDSVILLE RD, LOUISVILLE, KY 40219-4050
(502) 964-9800
(502) 964-1847
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4524
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000275184
ANTHEM BCBS
KY
01
—
3463110
CIGNA
KY
01
—
50000867
PASSPORT HEALTHPLAN GROUP
KY
01
—
50000868
PASSPORT HEALTHPLAN INDIV
KY
01
—
613993
ACN GROUP
KY
01
—
7189402
AETNA
KY
05
—
85002483
—
KY
Enumeration date
11/28/2006
Last updated
08/24/2007
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