Individual
MRS. KIMBERLY L BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2327 TIMBER DR, GARNER, NC 27529-2586
(919) 661-2957
(855) 898-2565
Mailing address
2327 TIMBER DR, GARNER, NC 27529-2586
(919) 661-2957
(855) 898-2565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1454
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905-M
BLUE CROSS BLUE SHIELD
NC
01
—
22-50376
UNITED HEALTH CARE
NC
01
—
U36818
AETNA HEALTH
NC
Enumeration date
02/19/2007
Last updated
02/20/2014
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