Healthcare Provider Details

I. General information

NPI: 1124930409
Provider Name (Legal Business Name): KATHERINE BOWMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 E KENYON AVE
DENVER CO
80237-1813
US

IV. Provider business mailing address

9101 E KENYON AVE
DENVER CO
80237-1813
US

V. Phone/Fax

Practice location:
  • Phone: 719-428-6100
  • Fax: 719-374-5907
Mailing address:
  • Phone: 719-428-6100
  • Fax: 719-374-5907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: