Individual
KERRY BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6801 W 20TH ST UNIT 101, GREELEY, CO 80634-9640
(970) 378-8000
(970) 378-8035
Mailing address
6801 W 20TH ST UNIT 101, GREELEY, CO 80634-9640
(970) 378-8026
(970) 378-8035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001077
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12038383
CAQH
—
Enumeration date
09/14/2006
Last updated
03/07/2023
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