Individual
KIMAKA BOWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5516 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5629
(757) 473-3969
(757) 506-0157
Mailing address
5516 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5629
(757) 473-3969
(757) 506-0157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024185850
VA
364SF0001X
Family Health Clinical Nurse Specialist
R872000
MS
Other
Enumeration date
03/05/2015
Last updated
03/30/2023
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