Individual
CAITLIN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
438 ADAM SHEPHERD PARKWAY SUITE 1, SHEPHERDSVILLE, KY 40165-1622
(502) 543-1055
(502) 543-1052
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49862
KY
208000000X
Pediatrics Physician
49862
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100308410
—
KY
01
—
K202040
KY MEDICARE PTAN
KY
Enumeration date
03/22/2013
Last updated
09/19/2024
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