Provider Demographics
NPI:1619122801
Name:TROWER, KIM (DEM)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:TROWER
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 S EASTERN AVE
Mailing Address - Street 2:SUITE 9A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-3125
Mailing Address - Country:US
Mailing Address - Phone:702-301-3385
Mailing Address - Fax:702-269-6081
Practice Address - Street 1:6000 S EASTERN AVE
Practice Address - Street 2:SUITE 9A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-3125
Practice Address - Country:US
Practice Address - Phone:702-301-3385
Practice Address - Fax:702-269-6081
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1007266465175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay