Individual
KATHY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7670
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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