Individual
MRS. KIMBERLY MICHELLE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
11324 ARCADE DR, SUITE 10, LITTLE ROCK, AR 72212-4074
(501) 993-8707
(501) 223-8075
Mailing address
4 GERMAY CT, LITTLE ROCK, AR 72223-5519
(501) 821-4750
(501) 821-8861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1463
AR
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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