Individual
KRISTIAN LEA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 3002, KANSAS CITY, KS 66103-2937
(913) 588-6074
(913) 588-3867
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66103-2937
(913) 588-6074
(913) 588-3867
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
53-46239-041
KS
Other
Enumeration date
04/14/2010
Last updated
04/15/2010
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