Individual
DR. KOBY DOUGLAS FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1095 WEST ST UNIT 1, SOUTHINGTON, CT 06489
(860) 620-1705
(860) 620-1746
Mailing address
1095 WEST ST UNIT 1, SOUTHINGTON, CT 06489-1023
(860) 620-1705
(860) 620-1746
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2106
CT
Other
Enumeration date
03/09/2018
Last updated
10/08/2019
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