IndividualActive
Kianna Fowlkes
NPI 1003471350 · Contractor · Washington, DC
Provider details
- NPI number
- 1003471350
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
97 Elmira St Sw
Washington, DC 20032-2248
Registry dates
- Enumerated
- 2019-05-02
- Last updated
- 2019-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.