Healthcare Provider Details

I. General information

NPI: 1932188257
Provider Name (Legal Business Name): HARALD HEINZ KOWA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 02/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 WALDEN RIDGE DR
ASHEVILLE NC
28803-8588
US

IV. Provider business mailing address

5 WALDEN RIDGE DR
ASHEVILLE NC
28803-8588
US

V. Phone/Fax

Practice location:
  • Phone: 828-687-8709
  • Fax: 828-687-0252
Mailing address:
  • Phone: 828-687-8709
  • Fax: 828-687-0252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34064
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: