Individual
KELLY KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 HARDING LN, INWOOD, WV 25428-3447
(571) 205-5737
Mailing address
44 HARDING LN, INWOOD, WV 25428-3447
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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