Individual
DEREK W FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3715 N OLIVER, WICHITA, KS 67220
(316) 942-4519
(316) 942-4655
Mailing address
3715 N OLIVER, WICHITA, KS 67220
(316) 942-4519
(316) 942-4655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-77580
KS
Other
Enumeration date
02/28/2017
Last updated
09/30/2020
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