Individual provider · Type 1 NPI

Kyle Bruce Fowler, PA-C

Surgical Physician Assistant · Scottsbluff, NE

NPI number 1730997875 Active

Practice location

4021 Avenue B
Scottsbluff, NE 69361-4602

Call (308) 630-1947 Map

Fax (308) 630-1439

Mailing address

7815 S 196th St
Gretna, NE 68028-5036

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1730997875

Kyle Bruce Fowler, PA-C's National Provider Identifier is 1730997875, issued on Dec 20, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Scottsbluff, NE. The record was last updated on Dec 20, 2024.