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NPI Code Detail

MEDICARE: KALEB BOWERS DO

MEDICARE: KALEB BOWERS DO
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
1171000000XMilitary Health Care Provider

General Provider Information

NPI Number : 1699587600
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEB BOWERS DO
Provider Business Mailing Address
First Line : 34800 BOB WILSON DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92134-5000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 34800 BOB WILSON DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92134-5000
Country : US
Telephone Number : 520-878-8115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2025
Last Update Date : 06/17/2026

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