Individual
KELLY VIKTORIN BOWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
410 POPLAR AVE, KJANSKYRN@GMAIL.COM, KODIAK, AK 99615-9961
(281) 467-2573
Mailing address
410 POPLAR AVE, KJANSKYRN@GMAIL.COM, KODIAK, AK 99615-9961
(281) 467-2573
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
243998
AK
163WI0500X
Infusion Therapy Registered Nurse
689023
TX
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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