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Individual

KIMALA MOSEBY-FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
2500 GRANT RD, MOUNTAIN VIEW, CA 94040-4302
(650) 940-7000
Mailing address
PO BOX 1000, DEPT 351, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
24640
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95032658
CA

Other

Enumeration date
08/21/2018
Last updated
04/22/2025
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