Kelly, Caron Bowen

Kelly, Caron Bowen is an individual health care provider with primary practice located at 3027 Jim Moore Rd , Dacula GA 30019-1144. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Caron Bowen can be contacted via phone (770) 339-0129.

Contact Information

Primary practice address
3027 Jim Moore Rd Dacula GA 30019-1144
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN218152 Georgia

Profile Details

NPI number 1578073912
LBN Legal business name Kelly, Caron Bowen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2017
Last updated Jul 21st, 2021 - about 3 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.

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