Healthcare Provider Details

I. General information

NPI: 1619803806
Provider Name (Legal Business Name): KIWII MARIE BOWERS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 VICTORY PKWY
CINCINNATI OH
45206-1395
US

IV. Provider business mailing address

937 OAKDALE DR
FINDLAY OH
45840-6754
US

V. Phone/Fax

Practice location:
  • Phone: 513-928-8262
  • Fax:
Mailing address:
  • Phone: 419-306-7697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2614122
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: