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NPI Code Detail

MEDICARE: KELSEY BOWEN

MEDICARE: KELSEY BOWEN
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
1163W00000XRegistered Nurse1065445TX

General Provider Information

NPI Number : 1467388892
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY BOWEN
Provider Business Mailing Address
First Line : 1013 FAIRWEATHER DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76120-3323
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 612 E LAMAR BLVD
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-4121
Country : US
Telephone Number : 877-847-9355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “ KELSEY BOWEN ” Practice Location

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