Kecia Fowler, DOM
Acupuncturist in Soquel, CA. Individual provider (NPI-1).
NPI number1043680002
StatusActive
Last updated in NPPESJan 9, 2018
Details
- NPI
- 1043680002
- Entity type
- Individual (NPI-1)
- Name
- Kecia Fowler
- Credential
- DOM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2015
- Last updated
- Jan 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AP3866 | FL | Yes |
| 171100000X | Acupuncturist | 16733 | CA |
Practice location
3065 Porter StSuite 105
Soquel, CA 95073-2231
Phone 831-345-8399 · Fax 831-480-5820
Mailing address
2735 7th Ave NSt Petersburg, FL 33713-6913
Phone 727-710-4983 · Fax 831-480-5820
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All 24 Acupuncturist providers in Soquel · All 321 providers in Soquel
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