| Doctor Name: | KIMBERLY ROWELL |
| NPI Number: | 1013325646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 6309 |
| Business Practice Address: | 1025 Pennock Pl Suite 121 Fort Collins, CO - 805243257 |
| Business Phone Number: | 9704958800 |
| Business Fax Number: | |
| Mailing Address: | 1025 Pennock Pl, Suite 121 FORT COLLINS |
| State: | CO |
| Postal Code: | 805243257 |
| Phone Number: | 9704958800 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2014 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 6309 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |