Bowen, Kendra D

Bowen, Kendra D is an individual health care provider with primary practice located at 1441 W Broadway , Centralia IL 62801-5613. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bowen, Kendra D can be contacted via phone (618) 532-9050.

Contact Information

Primary practice address
1441 W Broadway Centralia IL 62801-5613
Phone: (618) 532-9050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 010234 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003158 Illinois

Profile Details

NPI number 1457318438
LBN Legal business name Bowen, Kendra D
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Nov 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457318438 NPPES
Illinois Other P00469189 RR MEDICARE PTAN
Illinois Other 208959 RR MEDICARE PTAN
Illinois Other CE9335 RR MEDICARE PTAN
Illinois Other 207988 RR MEDICARE PTAN

Popular Providers