Individual
MRS. BEVERLY LUCINDA BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3625 FERN VALLEY RD, LOUISVILLE, KY 40219-1916
(502) 964-3381
Mailing address
PO BOX 72700, LOUISVILLE, KY 40272-0700
(502) 380-5503
(502) 937-3807
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3007778
KY
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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