Provider Demographics
NPI:1164873147
Name:LOWRY, KIMBERLEY JANEL (CRNP)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLEY
Middle Name:JANEL
Last Name:LOWRY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 THEATER LN
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:DE
Mailing Address - Zip Code:19934-4700
Mailing Address - Country:US
Mailing Address - Phone:215-449-9946
Mailing Address - Fax:
Practice Address - Street 1:920 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:ERDENHEIM
Practice Address - State:PA
Practice Address - Zip Code:19038
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344842363LP2300X
IN71010751A363LP2300X
PASP016738363LF0000X, 363LP2300X
SC23566363LP2300X
NC5012708363LP2300X
TXAP143841363LP2300X
NJ26NJ00846800363LP2300X
MDR242536363LP2300X
VA0024179028363LP2300X
MI4704360088363LP2300X
AZ235055363LP2300X
VT101.0134651363LP2300X
DCRN1059262363LP2300X
CT8865363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily