Individual
MIRANDA C FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2909 SE WALNUT DR, TOPEKA, KS 66605-2189
(785) 270-0047
(785) 266-3490
Mailing address
2909 SE WALNUT DR, TOPEKA, KS 66605-2189
(785) 270-0047
(785) 266-3490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0432985
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002352
MEDICARE PTAN
KS
05
—
201086730B
—
KS
Enumeration date
12/18/2006
Last updated
02/10/2026
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