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Individual

KEVIN PAUL BOWLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
1369A GEORGE WALLACE HWY, RUSSELLVILLE, AL 35654-3281
(256) 333-4118
(256) 333-4031
Mailing address
1002 RICHTON AVE, MUSCLE SHOALS, AL 35661-3051

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-077022
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-077022
RN LICENSE
AL
Enumeration date
06/13/2017
Last updated
03/31/2021
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