Individual
KELLY CARROLL FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8990 N WASHINGTON ST, THORNTON, CO 80229-4537
(720) 929-1655
(303) 604-6243
Mailing address
1345 PLAZA COURT N., #1A, LAFAYETTE, CO 80026-2832
(303) 665-3036
(303) 604-6243
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
173308
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81480024
—
CO
Enumeration date
10/17/2005
Last updated
07/09/2008
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