Individual
KRISTIN KELLEN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
6400 DUTCHMANS PKWY, SUITE 20, LOUISVILLE, KY 40205-3340
(502) 897-0100
(502) 897-7551
Mailing address
6400 DUTCHMANS PKWY, SUITE 20, LOUISVILLE, KY 40205-3340
(502) 897-0100
(502) 897-7551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004154
KY
Other
Enumeration date
07/31/2006
Last updated
12/31/2013
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