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Individual

DR. KATHLEEN M FOWLER

Active
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Individual

DR. KATHLEEN M FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1493
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110030385A
—
MA
01
—
44-00508
UNITED HEALTH CARE
MA
01
—
562020
AETNA USHC PROVIDER #
MA
01
—
72811
TUFTS PROVIDER NUMBER
MA
01
—
AA29332
HARVARD PILGRIM PROV #
MA
01
—
Y36022
BC PROVIDER NUMBER
MA
01
—
Y39270
BC/BS GROUP NUMBER
MA
Enumeration date
07/12/2005
Last updated
09/05/2023
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