Healthcare Provider Details

I. General information

NPI: 1376153650
Provider Name (Legal Business Name): HANNAH CHRISTINE KOWALEWSKI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2020
Last Update Date: 08/03/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1765 HILLOCK LN
YORK PA
17403-4033
US

IV. Provider business mailing address

1765 HILLOCK LN
YORK PA
17403-4033
US

V. Phone/Fax

Practice location:
  • Phone: 717-515-6313
  • Fax:
Mailing address:
  • Phone: 717-515-6313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA061705
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: