Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2009011503 | MO |
Y | 2080P0204X | Pediatric Emergency Doctor | 2009011503 | MO |
NPI | 1104038652 |
---|---|
Provider Name | Dr. Rachel H Kowalsky |
First Address | Saint Louis, MO 63110-1002 |
Second Address | Saint Louis, MO 63110-1002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 03/08/2009 |