Healthcare Provider Details

I. General information

NPI: 1922918051
Provider Name (Legal Business Name): SIOBHAN KATHRYN BOWSER KRUEGER RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SIOBHAN KATHRYN BOWSER RDN

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 HAWTHORN ST
LOWELL MA
01851-3616
US

IV. Provider business mailing address

48 HAWTHORN ST
LOWELL MA
01851-3616
US

V. Phone/Fax

Practice location:
  • Phone: 978-758-8981
  • Fax:
Mailing address:
  • Phone: 978-758-8981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN8944
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: