Individual
KIMBERLY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1750 30TH ST #420, BOULDER, CO 80301
(804) 506-0275
Mailing address
1750 30TH ST #420, BOULDER, CO 80301
(804) 506-0275
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101265975
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2017
Last updated
11/26/2021
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