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NPI Code Detail

MEDICARE: DR. KATHY YVONNE BENNETT BOWIE PSY.D

MEDICARE: DR. KATHY YVONNE BENNETT BOWIE PSY.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist01746MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
134998014OTHERMOBCBS NON-PROVIDER NO.

General Provider Information

NPI Number : 1992907497
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHY YVONNE BENNETT BOWIE PSY.D
Provider Business Mailing Address
First Line : 4044 CENTRAL ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2228
Country : US
Telephone Number : 816-960-4525
Fax Number :
Provider Business Practice Location Address
First Line : 4044 CENTRAL ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2228
Country : US
Telephone Number : 816-960-4525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2007
Last Update Date : 02/18/2010

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