Kendra D Bowen is a Surgical in Centralia, Illinois. Kendra D Bowen practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kendra D Bowen is 1457318438. The last update date is 2020-11-12.
Kendra D Bowen's current location address is 1441 W Broadway, Centralia, Illinois. You can contact this provider via phone number 6185329050. The mailing address for Kendra D Bowen is 1441 W Broadway, Centralia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendra D Bowen |
|---|---|
| Address | 1441 W Broadway, Centralia, Illinois |
| Phone Number | 6185329050 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1457318438 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2020-11-12 |
Provider Mailing Address Detail
| Address | 1441 W Broadway |
|---|---|
| City | Centralia |
| State | Illinois (IL) |
| Post Code | 628015613 |
| Phone Number | 6185329050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 10234 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00469189 | IL | RR MEDICARE PTAN | |
| 208959 | IL | MED GRP # | |
| CE9335 | IL | RR GROUP # | |
| 207988 | IL | MED GROUP # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kendra D Bowen by the Centers for Medicare & Medicaid Services?
The Kendra D Bowen has been issued the NPI (National Provider Identifier) 1457318438, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kendra D Bowen located?
The Kendra D Bowen is located at 1441 W Broadway, Centralia, IL 628015613.
What is Kendra D Bowen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kendra D Bowen is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
When did Kendra D Bowen receive its 1457318438 assignment?
The Kendra D Bowen was assigned its 1457318438 on 2006-04-26, which is the date when this unique identifier was issued to the organization.
As of what date were the Kendra D Bowen's details last updated?
The information pertaining to the Kendra D Bowen, including its address, specialty, and other details, was most recently updated on 2020-11-12.