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Individual

KELLY ALEXANDRA BOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1 HOSPITAL DR DEPT OF, COLUMBIA, MO 65212-1000
(573) 882-3014
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-3014

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2018020006
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207ZP0102X
TAXONOMY
Enumeration date
06/13/2018
Last updated
06/13/2018
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