Individual
MARIA TIFFANY BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4884 BROWNSBORO RD, LOUISVILLE, KY 40207-2342
(502) 896-4459
(502) 896-1164
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01071665A
IN
208000000X
Pediatrics Physician
Primary
45182
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201100300
—
IN
05
—
7100131340
—
KY
Enumeration date
04/06/2009
Last updated
04/18/2024
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