Individual
THOMAS W FOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
942 W MAIN ST UNIT B, MOUNT VERNON, KY 40456-2523
(606) 392-2207
(606) 392-2139
Mailing address
942 W MAIN ST UNIT B, MOUNT VERNON, KY 40456-2523
(731) 571-9223
(931) 901-1239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38140
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QP2300X
PRIMARY CARE PHYSICIAN
KY
01
—
38140
FAMILY PRACTICE
KY
05
—
64102726
—
KY
01
—
P00372184
RAILROAD MEDICARE
KY
Enumeration date
06/17/2006
Last updated
05/26/2020
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