Organization
KIM BOWEN MSN APRN BC ANP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BOWEN ANP (OWNER)
(972) 772-4321
Entity
Organization
Contact information
Practice address
206 STORRS ST, ROCKWALL, TX 75087-4006
(972) 772-5000
Mailing address
1737 LAKE BREEZE DR, ROCKWALL, TX 75087-3264
(972) 772-4321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP7208
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/23/2006
Last updated
11/15/2007
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