Individual
MR. KENTON HEATH BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 996-4206
Mailing address
2459 CHESTNUT RIDGE PL, VESTAVIA HILLS, AL 35216-4884
(205) 876-6319
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-154064
AL
Other
Enumeration date
10/04/2018
Last updated
02/01/2024
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