Individual
KATE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1927 JENNIE LEE DR APT 103, IDAHO FALLS, ID 83404-6166
(208) 970-0902
Mailing address
1927 JENNIE LEE DR APT 103, IDAHO FALLS, ID 83404-6166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ID
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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