Fowler, Kelly Carroll
Fowler, Kelly Carroll is an individual health care provider with primary practice located at 8990 N Washington St , Thornton CO 80229-4537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fowler, Kelly Carroll can be contacted via phone (720) 929-1655.Contact Information
Primary practice address
8990 N Washington St
Thornton CO 80229-4537
Phone: (720) 929-1655
Fax: (303) 604-6243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 173308 | Colorado |
Profile Details
| NPI number | 1902895683 |
|---|---|
| LBN Legal business name | Fowler, Kelly Carroll |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 9th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902895683 | NPPES |
| Colorado | MEDICAID | 81480024 |
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