Individual
THEODORA MAIRE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
740 S LIMESTONE C300, LEXINGTON, KY 40536-0001
(859) 257-3390
(859) 323-5483
Mailing address
740 SOUTH LIMESTONE C300, LEXINGTON, KY 40536-0001
(859) 257-3390
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
292846
KY
Other
Enumeration date
04/25/2024
Last updated
08/05/2024
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