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Individual
AMY BOWMAN
Active
Individual
AMY 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
PA2068
KY
363A00000X
Physician Assistant
TC446
KY
363AM0700X
Medical Physician Assistant
PA2068
KY
363AS0400X
Surgical Physician Assistant
PA2068
KY
Other
Enumeration date
11/05/2015
Last updated
08/17/2020
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