Michael Krage Kowalke, PA-C
Physician Assistant in Lincoln, NE. Individual provider (NPI-1).
NPI number1013104264
StatusActive
Last updated in NPPESJul 31, 2025
Details
- NPI
- 1013104264
- Entity type
- Individual (NPI-1)
- Name
- Michael Krage Kowalke
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2007
- Certification date
- Jul 31, 2025
- Last updated
- Jul 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1826 | NE | Yes |
Practice location
4130 Pioneer Woods Dr Ste 1Lincoln, NE 68506-7552
Phone 402-489-4700
Mailing address
4130 Pioneer Woods Dr Ste 1Lincoln, NE 68506-7552
Phone 402-489-4700
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