Individual
MS. KAITLYN ANN BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
14653 CLAYTON RD, BALLWIN, MO 63011-2656
(314) 415-7535
Mailing address
125 FOREST PKWY APT A, VALLEY PARK, MO 63088-1008
(217) 779-3432
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000026684
MO
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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