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NPI Code Detail

MEDICARE: KIMBERLY ANN BOWMAN MD

MEDICARE: KIMBERLY ANN BOWMAN MD
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
1207V00000XObstetrics & Gynecology Physician21772OK

General Provider Information

NPI Number : 1346384542
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN BOWMAN MD
Provider Business Mailing Address
First Line : 10014 N KENTALLEN
Second Line :
City : OWASSO
State : OK
Zip : 74055-7829
Country : US
Telephone Number : 918-829-3707
Fax Number :
Provider Business Practice Location Address
First Line : 3300 HEALTHPLEX PKWY
Second Line :
City : NORMAN
State : OK
Zip : 73072-9749
Country : US
Telephone Number : 405-515-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2007
Last Update Date : 02/23/2023

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