Individual
KATHERINE KOWALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3108 BRYCE DR, FORT COLLINS, CO 80525-3119
(630) 525-1631
Mailing address
3108 BRYCE DR, FORT COLLINS, CO 80525-3119
(630) 525-1631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0006186
CO
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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