Individual
KAITLIN BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7200 W BELL RD, SUITE F-101, GLENDALE, AZ 85308-8529
(602) 795-8700
(602) 795-8701
Mailing address
20280 N 59TH AVE, STE 115-617, GLENDALE, AZ 85308-6850
(602) 795-8700
(602) 795-8701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8365
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
924062
—
AZ
Enumeration date
03/19/2014
Last updated
01/23/2015
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