Healthcare Provider Details

I. General information

NPI: 1083988703
Provider Name (Legal Business Name): KELVIN KOW DVM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2012
Last Update Date: 08/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF FLORIDA VETERINARY HOSPITAL ONCOLOGY SERVICE
GAINESVILLE FL
32610-0126
US

IV. Provider business mailing address

215 COMMERCE WAY SUITE 100
PORTSMOUTH NH
03801
US

V. Phone/Fax

Practice location:
  • Phone: 352-392-2235
  • Fax: 352-846-2445
Mailing address:
  • Phone: 603-433-0056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number6521
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: