Fowler, Kenneth Shane

Fowler, Kenneth Shane is an individual health care provider with primary practice located at 4906 Ambassador Caffery Pkwy Bldg O , Lafayette LA 70508-6962. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Fowler, Kenneth Shane can be contacted via phone (337) 981-0144.

Contact Information

Primary practice address
4906 Ambassador Caffery Pkwy Bldg O Lafayette LA 70508-6962
Phone: (337) 981-0144
Fax: (337) 981-0162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 5326 Louisiana

Profile Details

NPI number 1518004761
LBN Legal business name Fowler, Kenneth Shane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 23rd, 2023 - about 2 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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