Individual
KENDELL BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPA-C/CSA/ SA-C
Contact information
Practice address
3438 TOPSIDE RD, KNOXVILLE, TN 37920-6033
(505) 270-2367
Mailing address
3438 TOPSIDE RD, KNOXVILLE, TN 37920-6033
(505) 270-2367
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
13-561
CO
246ZC0007X
Surgical Assistant
4046
DC
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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