Fowler, Kenneth Patrick

Fowler, Kenneth Patrick is an individual health care provider with primary practice located at 500 Merrimack St , Lawrence MA 01843-1756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Fowler, Kenneth Patrick can be contacted via phone (978) 557-8900.

Contact Information

Primary practice address
500 Merrimack St Lawrence MA 01843-1756
Phone: (978) 557-8900
Fax: (978) 557-8811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 232594 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 232594 Massachusetts

Profile Details

NPI number 1699849166
LBN Legal business name Fowler, Kenneth Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Nov 19th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699849166 NPPES
Massachusetts Other 1699849166 HMO BLUE
Massachusetts MEDICAID 2144409 HMO BLUE
Massachusetts Other 9931092 HMO BLUE
Massachusetts Other 1699849166 HMO BLUE
Massachusetts Other 946322-02 HMO BLUE
Massachusetts Other 1699849166 HMO BLUE
Massachusetts Other 28-38773 HMO BLUE
Massachusetts Other 497022 HMO BLUE
Massachusetts Other AA100849 HMO BLUE
Massachusetts Other J42491 HMO BLUE
Massachusetts MEDICAID 110077563A HMO BLUE
Massachusetts Other 30209506 HMO BLUE
Massachusetts Other 9013557 HMO BLUE
Massachusetts Other 0043950 HMO BLUE
Massachusetts Other 1699849166 HMO BLUE

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