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Individual

KYMBERLY FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
9537 GRAVELLY LAKE DR SW # E10, LAKEWOOD, WA 98499-1513
(253) 984-2000
Mailing address
9537 GRAVELLY LAKE DR SW # E10, LAKEWOOD, WA 98499-1513
(253) 984-2000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61599950
WA

Other

Enumeration date
08/31/2024
Last updated
08/31/2024
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