Individual
F KIRK BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1670 W MAIN ST, STE 100, LEBANON, TN 37087-1344
(615) 453-5155
(615) 444-5915
Mailing address
1670 W MAIN ST, STE 100, LEBANON, TN 37087-1344
(615) 453-5155
(615) 444-5915
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25834
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034233
AETNA -HMO
TN
01
—
1238610001
DMERC
TN
01
—
180031039
PALMETTO GBA
TN
01
—
3061741
BLUE CROSS BLUE SHIELD
TN
01
—
375900325
VISION SERVICE
TN
01
—
3813892
HEALTHSPRING
TN
05
—
3813892
—
TN
01
—
5856568
AETNA MC
TN
01
—
621298175
DEFAULT
TN
01
—
7112178
CIGNA -PPO
TN
01
—
913187
BLOCKVISION
TN
Enumeration date
07/07/2005
Last updated
02/02/2009
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