Provider Demographics
NPI:1649861139
Name:COWART, KIMBERLY ANNE (DMS, PA-C)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANNE
Last Name:COWART
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Gender:F
Credentials:DMS, PA-C
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Mailing Address - Street 1:2874 WARD BLVD
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-1761
Mailing Address - Country:US
Mailing Address - Phone:252-291-5600
Mailing Address - Fax:252-291-6935
Practice Address - Street 1:2874 WARD BLVD
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-1761
Practice Address - Country:US
Practice Address - Phone:252-291-5600
Practice Address - Fax:252-291-6935
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2025-09-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant