Individual
KATHY BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
386 CLAY ST, FAYETTEVILLE, WV 25840-5383
(304) 719-5156
Mailing address
386 CLAY ST, FAYETTEVILLE, WV 25840-5383
(304) 719-5156
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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