Individual
DR. KATHY YVONNE BENNETT BOWIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4044 CENTRAL ST, KANSAS CITY, MO 64111-2228
(816) 960-4525
Mailing address
4044 CENTRAL ST, KANSAS CITY, MO 64111-2228
(816) 960-4525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01746
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34998014
BCBS NON-PROVIDER NO.
MO
Enumeration date
06/05/2007
Last updated
02/18/2010
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