Individual
DR. KATHLEEN M FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5 E MAIN ST, STE 4, MERRIMAC, MA 01860-2005
(978) 346-4450
(978) 346-4334
Mailing address
5 E MAIN ST, STE 4, MERRIMAC, MA 01860-2005
(978) 346-4450
(978) 346-4334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1493
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110030385A
—
MA
01
—
44-00508
UNITED HEALTH CARE
MA
01
—
562020
AETNA USHC PROVIDER #
MA
01
—
72811
TUFTS PROVIDER NUMBER
MA
01
—
AA29332
HARVARD PILGRIM PROV #
MA
01
—
Y36022
BC PROVIDER NUMBER
MA
01
—
Y39270
BC/BS GROUP NUMBER
MA
Enumeration date
07/12/2005
Last updated
09/05/2023
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