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General NPI Number Information
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NPI Number | 1407499635
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Entity Type | Individual
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Provider Name | KEVIN LOWREY NP
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Gender | Male
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 1259 LAKE PLAZA DR STE 255
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3504
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Country | US
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Telephone | 719-598-3585
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Fax |
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Provider Business Mailing Address
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Address Line | 3948 W SALTER DR
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City | GLENDALE
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State | AZ
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Zip | 85308-4712
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 233539
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0004488-C-NP
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License Number State | CO
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