Individual
MRS. KATHLEEN A BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP-PC
Contact information
Practice address
3771 NESCONSET HWY STE 212, SOUTH SETAUKET, NY 11720-1154
(631) 689-5433
(631) 883-6652
Mailing address
3771 NESCONSET HWY STE 212, SOUTH SETAUKET, NY 11720-1154
(631) 689-5433
(631) 883-6652
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401202
NY
Other
Enumeration date
07/22/2009
Last updated
03/25/2022
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