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Organization
KIM BOWEN MSN APRN BC ANP PLLC
Active
Organization
KIM BOWEN MSN APRN BC ANP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BOWEN ANP (OWNER)
(972) 772-4321
Entity
Organization
Contact information
Practice address
206 STORRS ST, ROCKWALL, TX 75087-4006
(972) 772-5000
Mailing address
1737 LAKE BREEZE DR, ROCKWALL, TX 75087-3264
(972) 772-4321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP7208
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/23/2006
Last updated
11/15/2007
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