Individual
KAREN FOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4320 DIPLOMACY DRIVE PCC-HED, ANCHORAGE, AK 99508
(907) 729-8859
Mailing address
11946 REGENCY DR, EAGLE RIVER, AK 99577-7710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
171
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT5951
—
AK
Enumeration date
04/13/2007
Last updated
10/09/2007
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