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Individual
PATTI JO BOWMAN
Active
Individual
PATTI JO BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-255
KY
363AM0700X
Medical Physician Assistant
PA255
KY
363AS0400X
Surgical Physician Assistant
PA255
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377997
ANTHEM PROVIDER #
KY
01
—
030670000
BLACK LUNG
KY
01
—
50005618
PASSPORT HEALTH PLAN
KY
01
—
61-1427889
BLUEGRASS FAMILY HEALTH
KY
05
—
95003034
—
KY
01
—
C60875
CUMBERLAND HEALTHCARE INC
KY
Enumeration date
02/15/2006
Last updated
08/17/2020
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