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NPI Code Detail

MEDICARE: DR. KAREN ELINA BOWEN DO

MEDICARE: DR. KAREN ELINA BOWEN 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
1207Q00000XFamily Medicine Physician200501101NC
2207QB0002XObesity Medicine (Family Medicine) Physician2005-01101NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5808039OTHERNCPARTNERS MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1142X3OTHERNCBCBS NC
2191152OTHERNCMEDCOST
37970821OTHERNCAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992735013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN ELINA BOWEN DO
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 336-993-8181
Fax Number : 336-996-9539
Provider Business Practice Location Address
First Line : 291 BROAD ST
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-2932
Country : US
Telephone Number : 336-993-8181
Fax Number : 336-996-9539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 10/28/2020

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