Individual
KERRY ELIZABETH BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1135 116TH AVE NE, SUITE 305, BELLEVUE, WA 98004
(425) 453-1772
Mailing address
1100 9TH AVE, MS:C6-GS, SEATTLE, WA 98101-2756
(206) 625-7188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60061946
WA
363AM0700X
Medical Physician Assistant
PA60061946
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60061946
WA
Other
Enumeration date
01/07/2009
Last updated
08/22/2018
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