Fowler, Tracy M

Fowler, Tracy M is an individual health care provider with primary practice located at 555 W 15Th St Suite A, Liberal KS 67901-2467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fowler, Tracy M can be contacted via phone (620) 624-0702.

Contact Information

Primary practice address
555 W 15Th St Suite A Liberal KS 67901-2467
Phone: (620) 624-0702
Fax: (620) 624-5078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5376397 Kansas

Profile Details

NPI number 1801201173
LBN Legal business name Fowler, Tracy M
Credentials APRN/PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2014
Last updated Apr 6th, 2017 - about 8 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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