Individual
DR. KIM ELISE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1180 BEACON ST, SUITE 3B, BROOKLINE, MA 02446-3885
(617) 566-5600
(617) 277-3745
Mailing address
1180 BEACON ST STE 8C, BROOKLINE, MA 02446-3806
(617) 566-5600
(617) 277-3745
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
45580
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092071
AETNA/USHEALTHCARE
—
05
—
0195855
—
MA
01
—
110229079
RAILROAD MEDICARE
—
01
—
468590
HEALTHSOURCE
—
01
—
6849
HARVARD PILGRIM HEALTHCAR
—
01
—
755268
TUFTS HEALTH PLAN
—
01
—
B10226701
CIGNA
—
01
—
BOB30163
BC/BS
MA
Enumeration date
06/02/2006
Last updated
02/22/2020
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