Provider Demographics
NPI:1407631336
Name:MOWKA, ASHLEY KEARA (PA-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KEARA
Last Name:MOWKA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 KICHLINE AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1026
Mailing Address - Country:US
Mailing Address - Phone:203-993-4900
Mailing Address - Fax:
Practice Address - Street 1:514 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1104
Practice Address - Country:US
Practice Address - Phone:484-822-5092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical