Individual
KRYSTAL FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 424-7711
Mailing address
3700 N CLASSEN BLVD STE C35, OKLAHOMA CITY, OK 73118-2836
(580) 791-1008
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
02/25/2022
Last updated
09/25/2023
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