MEDICARE: KATHLEEN P BOWEN 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
1	207P00000X	Emergency Medicine Physician	00022657	AL

General Provider Information

NPI Number	:	1952382202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN P BOWEN MD

Provider Business Mailing Address
First Line	:	PO BOX 11407 DRAWER 624
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35246-0624
Country	:	US
Telephone Number	:	205-437-6098
Fax Number	:	205-437-5998

Provider Business Practice Location Address
First Line	:	1806 SIXTH AVENUE SOUTH
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35249-0001
Country	:	US
Telephone Number	:	205-975-7389
Fax Number	:	205-975-4662

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	11/30/2007

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