Individual provider · NPI-1

Dr. Kathie Kowalczyk, M.D

Psychiatry & Neurology, Neurology · Fort Pierce, FL

NPI number1639425986
StatusActive
Last updated in NPPESJul 14, 2022

Details

NPI
1639425986
Entity type
Individual (NPI-1)
Name
Dr. Kathie Kowalczyk
Credential
M.D
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2012
Certification date
Jul 14, 2022
Last updated
Jul 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyME122157FLYes

Practice location

2401 Frist Blvd Ste 4
Fort Pierce, FL 34950-4800

Phone 772-595-5302

Mailing address

2401 Frist Blvd Ste 4
Fort Pierce, FL 34950-4800

Phone 772-595-5302

Other practice locations

10080 Sw Innovation Way Ste 201
Port St Lucie, FL 34987-2129

Phone 772-344-3811 · Fax 772-344-3890

10050 Sw Innovation Way
Ste 102
Port St Lucie, FL 34987-2117

Phone 772-344-3811

10080 Sw Innovation Way Ste 201
Port St Lucie, FL 34987-2129

Phone 772-344-3811 · Fax 772-344-3890

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