Individual
DR. KYLE S BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3906 PEACHTREE DR, STE D, COLUMBIA, MO 65203-4925
(573) 256-6506
(573) 256-6508
Mailing address
3906 PEACHTREE DR, STE D, COLUMBIA, MO 65203-4925
(573) 256-6506
(573) 256-6508
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004018277
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193262
BLUE CROSS BLUE SHIELD
MO
01
—
242298
GHP PIN
MO
01
—
682555
HEALTHLINK
MO
Enumeration date
06/21/2005
Last updated
05/16/2008
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