Fowler, Kimberly Dawn
Fowler, Kimberly Dawn is an individual health care provider with primary practice located at 4011 Benbrook Hwy Ste C , Ft Worth TX 76116-7800. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fowler, Kimberly Dawn can be contacted via phone (817) 386-5500.Contact Information
Primary practice address
4011 Benbrook Hwy Ste C
Ft Worth TX 76116-7800
Phone: (817) 386-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 104760 | Texas |
Profile Details
| NPI number | 1366728883 |
|---|---|
| LBN Legal business name | Fowler, Kimberly Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2011 |
| Last updated | Oct 23rd, 2020 - about 6 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 | 1366728883 | NPPES |
| Texas | MEDICAID | 149984001 | |
| Texas | MEDICAID | 207164901 |
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