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Organization

KYMRY FOWLER, INC.

Active
Parent organization
1957
Organization subpart
Yes

Provider details

NPI number
Legal business name
1957
Authorized official
MS. KYMRY HART FOWLER (CLINICAL DIRECTOR)
(949) 374-4868
Entity
Organization

Contact information

Practice address
20122 SANTA ANA AVE, 7C, NEWPORT BEACH, CA 92660-1360
(949) 374-4868
(949) 606-8262
Mailing address
20122 SANTA ANA AVE, 7C, NEWPORT BEACH, CA 92660-1360
(949) 374-4868
(949) 606-8262

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
17425
CA

Other

Enumeration date
05/01/2017
Last updated
05/01/2017
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