Individual
MRS. KERRY LYNN BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7 N 600 W, BLACKFOOT, ID 83221-5533
(208) 782-8867
(208) 684-9812
Mailing address
333 LARK LN, POCATELLO, ID 83201-5503
(208) 237-6538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1386
ID
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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