Healthcare Provider Details

I. General information

NPI: 1831799519
Provider Name (Legal Business Name): KALYN BOWER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2020
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18605 GREEN VALLEY RANCH BLVD
DENVER CO
80249-6832
US

IV. Provider business mailing address

210 RESERVE BLVD APT 301
CHARLOTTESVILLE VA
22901-1597
US

V. Phone/Fax

Practice location:
  • Phone: 303-371-8985
  • Fax:
Mailing address:
  • Phone: 940-733-2214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202218227
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number23418
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: