Individual
KACI BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 E MAIN ST, ALBERTVILLE, AL 35950-2461
(256) 849-0444
(256) 849-0445
Mailing address
1014 SNELLGROVE AVE, BOAZ, AL 35957-1854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4064
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4064
—
AL
Enumeration date
08/15/2017
Last updated
02/21/2019
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