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Dr. Keith A Kowal, MD
Otolaryngology/Facial Plastic Surgery Physician in Fairhope, Alabama
NPI 1528064201

Keith A Kowal is a Otolaryngology/Facial Plastic Surgery Physician based in Foley, AL and is specialized in Otolaryngology/Facial Plastic Surgery. Keith A Kowal practices in Fairhope, AL and has the professional credentials of MD. The NPI Number for Keith A Kowal is 1528064201 and holds a License No. 036199 (Alabama).

The current practice location address for Keith A Kowal is 20308 Beecher St, Fairhope, AL and can be reached out via phone at 404-432-2391.

Location: 20308 Beecher St, Fairhope, AL, 36535-4704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528064201
Provider Name
Keith A Kowal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20308 Beecher St, Fairhope, AL, 36535-4704
Phone Number
404-432-2391
Fax Number
Provider Enumeration Date
06/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
179628 05 AL
511-69027 01 AL BCBS OF AL
102I43287 01 AL MEDICARE
institution
Provider Business Practice Location Address Details
Address
20308 Beecher St
City
Fairhope
State
Alabama
Zip
36532-3692
Phone Number
404-432-2391
Fax Number
person
Provider Business Mailing Address Details
Address
20308 Beecher St
City
Fairhope
State
Alabama
Zip
36532-3692
Phone Number
404-432-2391
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
036199 (Georgia)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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