Individual
JASON BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, ROOM M-53, LEXINGTON, KY 40536
(859) 323-5083
(859) 323-5682
Mailing address
800 ROSE ST, ROOM M-53, LEXINGTON, KY 40536-7001
(859) 323-5083
(859) 323-5682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
53372
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
53372
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53372
KBML
KY
Enumeration date
03/23/2017
Last updated
10/23/2020
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