Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEN-NETTA FOWLKES, BA ,MA
Active Sole ProprietorKEN-NETTA FOWLKES, BA ,MA is a Case Manager healthcare provider located in NORTH VERSAILLES, Pennsylvania. NPI 1316292303 is currently active in the NPPES registry. Verify at CMS.
Case Manager · NORTH VERSAILLES, PA
Registration Details
- NPI Number
- 1316292303
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2012 (14.06375950412 yrs)
- Last Updated
- Sep 15, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 RODGERS PLNORTH VERSAILLES, PA, 151371610Browse PA providers · Browse ZIP 15137
- Phone
- 4124011476
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Social Worker
- Additional Specialty
- Case Manager
- Additional Specialty
- Community Health Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.