Individual
MR. JACHOB BRADLEY BOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, MSN, CRNA
Contact information
Practice address
770 HANCOCK AVE, CORBIN, KY 40701-2545
(606) 765-2896
Mailing address
4216 SOMERSET RD, LONDON, KY 40741-9615
(606) 765-7759
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3018828
KY
Other
Enumeration date
09/24/2020
Last updated
01/11/2023
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