Individual
MR. KEVIN LESLIE COWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 PIMLICO PARK, HOLLAND, OH 43528-8020
(419) 262-7645
Mailing address
1105 PIMLICO PARK, HOLLAND, OH 43528-8020
(419) 262-7645
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
SC172319
OH
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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