Healthcare Provider Details

I. General information

NPI: 1659107035
Provider Name (Legal Business Name): DANIEL ALEXANDER KOWBEL PLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2024
Last Update Date: 09/27/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W 19TH TER
KANSAS CITY MO
64108-2026
US

IV. Provider business mailing address

122 DELAWARE ST UNIT 1334
KANSAS CITY MO
64105-2533
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-5718
  • Fax:
Mailing address:
  • Phone: 816-656-6034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2024039493
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: