Provider Demographics
NPI:1487866174
Name:KOWALSKI, STEPHEN FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:FRANK
Last Name:KOWALSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 CAHABA RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2623
Mailing Address - Country:US
Mailing Address - Phone:205-423-9440
Mailing Address - Fax:205-423-9450
Practice Address - Street 1:3300 CAHABA RD
Practice Address - Street 2:SUITE 310
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223-2623
Practice Address - Country:US
Practice Address - Phone:205-423-9440
Practice Address - Fax:205-423-9450
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20264174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-76345OtherBLUE CROSS BLUE SHIELD AL
AL103656OtherVALUE OPTIONS
AL103656OtherVALUE OPTIONS
ALB68835Medicare UPIN