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Individual

DANNY R BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1230 S HURSTBOURNE PKWY STE 120, LOUISVILLE, KY 40222
(502) 425-3225
Mailing address
102 WILTSHIRE AVE UNIT 1, LOUISVILLE, KY 40207-3020
(800) 951-7850
(843) 282-6244

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1409A
KY
367500000X
Certified Registered Nurse Anesthetist
28086314
IN
367500000X
Certified Registered Nurse Anesthetist
3001409
KY
367500000X
Certified Registered Nurse Anesthetist
COA.12279-NA
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0784914
OH
05
74408592
KY
Enumeration date
10/02/2006
Last updated
12/05/2018
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