Provider Demographics
NPI:1912211335
Name:DR KEN H SOWERS
Entity Type:Organization
Organization Name:DR KEN H SOWERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:SOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-215-4896
Mailing Address - Street 1:112 E COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:MORRILTON
Mailing Address - State:AR
Mailing Address - Zip Code:72110-2921
Mailing Address - Country:US
Mailing Address - Phone:501-215-4896
Mailing Address - Fax:501-215-4897
Practice Address - Street 1:112 E COMMERCE ST
Practice Address - Street 2:
Practice Address - City:MORRILTON
Practice Address - State:AR
Practice Address - Zip Code:72110-2921
Practice Address - Country:US
Practice Address - Phone:501-215-4896
Practice Address - Fax:501-215-4897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty