Individual
KAITLIN BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 W 47TH ST APT A, KANSAS CITY, MO 64112-2214
(816) 519-8100
Mailing address
1105 W 47TH ST APT A, KANSAS CITY, MO 64112-2214
(816) 519-8100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3490
KS
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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