Organization
KATHY L. BOWEN, OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BOWEN OD (PRESIDENT)
(703) 726-3923
Entity
Organization
Contact information
Practice address
1300 EDWARDS FERRY RD NE, LEESBURG, VA 20176-3355
(703) 669-5064
Mailing address
21540 SHEFFIELD CT, ASHBURN, VA 20147-4564
(703) 726-3923
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001553
VA
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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