Individual
KYATINA BOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 GREENWOOD AVE, CLARKSVILLE, TN 37040-4068
(931) 278-4140
Mailing address
223 CLEARVIEW DR, CLARKSVILLE, TN 37043-5076
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
65082
TN
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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