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Individual

MICHAEL L BOWLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8780 US HIGHWAY 42, SUITE A, FLORENCE, KY 41042
(859) 384-2660
(859) 384-5248
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 384-2660
(859) 384-5248

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42397
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3078879
OH
05
7100095080
KY
01
P00750395
RAILROAD MEDICARE
KY
01
P00821196
RAILROAD MEDICARE
KY
Enumeration date
02/13/2009
Last updated
09/07/2018
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