Provider Demographics
NPI:1164747176
Name:ROWLING, KIMBERLY JEAN (HIS)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:JEAN
Last Name:ROWLING
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:JEAN
Other - Last Name:ROWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HIS
Mailing Address - Street 1:7609 E SPEEDWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-8832
Mailing Address - Country:US
Mailing Address - Phone:520-722-4327
Mailing Address - Fax:520-722-4325
Practice Address - Street 1:7609 E SPEEDWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-8832
Practice Address - Country:US
Practice Address - Phone:520-722-4327
Practice Address - Fax:520-722-4325
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD4366237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist