Doctor Name: | KATHLEEN A. ROWELL |
NPI Number: | 1003834961 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA0018112L |
Business Practice Address: | 4100 W 3rd St Dayton, OH - 454289000 |
Business Phone Number: | 9372686511 |
Business Fax Number: | |
Mailing Address: | 1610 Diplomat Dr, BEAVERCREEK |
State: | OH |
Postal Code: | 454322506 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA0018112L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |