Individual
DR. KENDRA G BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
100 E IDAHO ST, STE. 300, BOISE, ID 83712-6267
(208) 381-7370
Mailing address
100 E IDAHO ST, STE. 300, BOISE, ID 83712-6267
(208) 381-7370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
245014
MA
208600000X
Surgery Physician
Primary
62401-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
245014
MA
390200000X
Student in an Organized Health Care Education/Training Program
4301087754
MI
Other
Enumeration date
03/09/2007
Last updated
04/29/2024
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