Provider Demographics
NPI:1447741517
Name:COWIE, KANACHI VOGEL
Entity Type:Individual
Prefix:
First Name:KANACHI
Middle Name:VOGEL
Last Name:COWIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5613 LEESBURG PIKE STE 42
Mailing Address - Street 2:
Mailing Address - City:BAILEYS CROSSROADS
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2912
Mailing Address - Country:US
Mailing Address - Phone:703-956-7448
Mailing Address - Fax:
Practice Address - Street 1:5613 LEESBURG PIKE STE 42
Practice Address - Street 2:
Practice Address - City:BAILEYS CROSSROADS
Practice Address - State:VA
Practice Address - Zip Code:22041-2912
Practice Address - Country:US
Practice Address - Phone:703-956-7448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide