Individual
JENNIFER BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CLC
Contact information
Practice address
400 E GRAY ST, LOUISVILLE, KY 40202-1740
(502) 574-6506
Mailing address
3029 PLANTATION DR, SELLERSBURG, IN 47172-9143
(502) 645-5383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1921
KY
133V00000X
Registered Dietitian
Primary
957472
KY
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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