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Individual
KIMBERLY A BOWERS
Active
Individual
KIMBERLY A BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
R136148
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930735-02 03
BLUE CROSS/BLUE SHIELD
MD
01
—
S062-0377
BLUE CROSS REGIONAL
MD
Enumeration date
05/08/2008
Last updated
04/28/2010
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