Individual
MS. COLLEEN P. FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
151 W GALBRAITH RD, CINCINNATI, OH 45216-1015
(513) 418-2707
(513) 418-2698
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.000932
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389225
ANTHEM
—
01
—
093469423-00
BWC OH
OH
01
—
11478847
CAQH
—
05
—
9500194700
—
KY
Enumeration date
06/30/2006
Last updated
12/13/2017
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