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Individual
DR. KENNETH PATRICK FOWLER
Active
Individual
DR. KENNETH PATRICK FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
232594
MA
208000000X
Pediatrics Physician
Primary
232594
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043950
NEIGHBORHOOD HEALTH PLAN
MA
05
—
110077563A
—
MA
01
—
1699849166
HMO BLUE
MA
05
—
2144409
—
MA
01
—
28-38773
EVERCARE
MA
01
—
30209506
NH MEDICAID
NH
01
—
497022
TUFTS
MA
01
—
9013557
CIGNA
MA
01
—
946322-02
NETWORK
MA
01
—
9931092
AETNA NON HMO
MA
01
—
AA100849
HARVARD PILGRIM HEALTH CARE
MA
01
—
J42491
BCBS
MA
Enumeration date
11/17/2006
Last updated
11/19/2012
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