Individual
DR. KENNETH JOHN KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4878 N SWAN ROAD, MILWAUKEE, WI 53225
(414) 461-3580
(414) 461-0139
Mailing address
4878 N SWAN ROAD, MILWAUKEE, WI 53225
(414) 461-3580
(414) 461-0139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3532
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33757400
—
WI
Enumeration date
08/22/2006
Last updated
07/08/2007
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