Search › Washington › 101YA0400X
Kirk Fowler, SUDP
NPI 1760954960 · on the registry since 2018
Practice
- Address
- 100 N Tribal Center Rd
Skokomish Nation, WA 98584 - Phone
- (360) 877-2008
- Organisation at this address
- Skokomish Tribal Council
Skokomish Tribal CouncilInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington