Individual
KRISTINA A BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3865
(509) 962-1414
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 853-1082
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OL60861783
WA
207Q00000X
Family Medicine Physician
Primary
OP61072638
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102026
—
WA
Enumeration date
07/08/2016
Last updated
08/28/2024
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