Dr. Keith A Kowal
Otolaryngology/Facial Plastic Surgery
20308 Beecher St
Fairhope
, Alabama 36532-3692
Dr. Keith A Kowal
Otolaryngology/Facial Plastic Surgery
20308 Beecher St
Fairhope
, Alabama 36532-3692
(251) 943-1183
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Keith A Kowal
- 1851 N Mckenzie St Ste 106
- Foley, AL
- Zip : 36535-4704
- Fax : (251) 943-1183
- Phone : (251) 943-1117
Second Address
- Dr. Keith A Kowal
- 20308 Beecher St
- Fairhope, AL
- Zip : 36532-3692
- Phone : (404) 432-2391
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 036199 | GA |
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD.34240 | AL |
National Provider Identifier
| NPI | 1528064201 |
|---|---|
| Provider Name | Dr. Keith A Kowal |
| First Address | Foley, AL 36535-4704 |
| Second Address | Fairhope, AL 36532-3692 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2005 |
| Last Update Date | 11/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102I43287 | MEDICARE (01) | AL |
| 179628 | (05) | AL |
| 511-69027 | BCBS OF AL (01) | AL |
| A60957 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.