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Thomas A Kowal, MD
General Practice Physician in Lebanon, Tennessee
NPI 1043205008

Thomas A Kowal is a General Practice Physician based in Lebanon, TN. Thomas A Kowal practices in Lebanon, TN and has the professional credentials of MD. The NPI Number for Thomas A Kowal is 1043205008 and holds a License No. 30964 (Tennessee).

The current practice location address for Thomas A Kowal is 228 W Main St Ste B, Lebanon, TN and can be reached out via phone at 615-784-4621 and via fax at 615-784-4623.

Location: 228 W Main St Ste B, Lebanon, TN, 37087-2681
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043205008
Provider Name
Thomas A Kowal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
228 W Main St Ste B, Lebanon, TN, 37087-2681
Phone Number
615-784-4621
Fax Number
615-784-4623
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3832473 05 TN
institution
Provider Business Practice Location Address Details
Address
228 W Main St Ste B
City
Lebanon
State
Tennessee
Zip
37087-2681
Phone Number
615-784-4621
Fax Number
615-784-4623
person
Provider Business Mailing Address Details
Address
228 W Main St Ste B
City
Lebanon
State
Tennessee
Zip
37087-2681
Phone Number
615-784-4621
Fax Number
615-784-4623
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
30964 (Tennessee)
Definition
Definition to come...
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