KELLY CARROLL FOWLER NP NPI 1902895683

NPI Information

NPI: 1902895683
Provider Name: KELLY CARROLL FOWLER, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
8990 N WASHINGTON ST
THORNTON, CO
ZIP 80229
Phone: (720) 929-1655
Get Directions

Kelly Carroll Fowler, NP is a family nurse practitioner in Thornton, CO. Kelly Carroll Fowler, NP NPI is 1902895683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8990 N WASHINGTON ST
THORNTON, CO
ZIP 80229-537
Phone: (720) 929-1655
Fax: (303) 604-6243

The enumeration date for this NPI number is 10/17/2005 and was last updated on 7/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	173308	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q60770	MEDICARE UPIN
2	C804396	MEDICARE PIN
3	81480024	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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