Individual
JOHN FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5404
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5404
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
32794
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142697001
—
AR
Enumeration date
11/24/2006
Last updated
08/12/2015
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