Individual
DR. KYLE A. KOWNACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5215 HOLY CROSS PKWY, ANESTHESIA DEPARTMENT, MISHAWAKA, IN 46545-1469
(574) 335-5000
Mailing address
121 S SAINT LOUIS BLVD, SOUTH BEND, IN 46617-2924
(574) 233-3123
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01078539A
IN
Other
Enumeration date
05/02/2014
Last updated
07/20/2018
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