Individual
KIMBERLY RANEA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
5222 ANDRUS AVE, ORLANDO, FL 32810-5400
(662) 567-2319
Mailing address
3008 KELVINGTON DR, ORLANDO, FL 32810-4310
(662) 567-2319
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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