Individual
KELLEY FRANCES BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1314 OAK ST, MELBOURNE, FL 32901-3111
(321) 727-7992
(321) 727-7664
Mailing address
PO BOX 410512, MELBOURNE, FL 32941-0512
(321) 727-7992
(321) 727-7664
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104618
FL
Other
Enumeration date
10/01/2008
Last updated
10/07/2008
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