Individual
MRS. NICOLE M LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 MEADOWBROOK DR, KEARNEY, MO 64060-8553
(816) 628-0075
Mailing address
200 MEADOWBROOK DR, KEARNEY, MO 64060-8553
(861) 628-0075
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2019027367
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019027367
MEDICARE
MO
Enumeration date
01/25/2021
Last updated
01/25/2021
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