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Contact Information

KYLE B FOWLER, PA-C
4021 AVENUE B
SCOTTSBLUFF, NE69361-4602
 Phone: 308-630-1947
 Fax: 308-630-1439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KYLE B FOWLER · (Male)

NPI Number 1730997875
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/20/2024
Last updated 12/20/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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