Individual provider · NPI-1

Kimberley Jean Bowie, lpn

Licensed Practical Nurse · Houston, TX

NPI number1174759369

StatusActive

Last updated in NPPESMay 27, 2015

Details

NPI: 1174759369
Entity type: Individual (NPI-1)
Name: Miss Kimberley Jean Bowie
Credential: lpn
Sex: Female
Sole proprietor: Yes
Enumeration date: Jun 2, 2009
Last updated: May 27, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
164W00000X	Licensed Practical Nurse	pn 133093	OH	Yes
164W00000X	Licensed Practical Nurse	225873	TX
174H00000X	Health Educator	225873	TX

Practice location

12730 Whittington Dr
604
Houston, TX 77077-4745

Phone 281-271-8514 · Fax 346-207-8514

Mailing address

12730 Whittington Dr
604
Houston, TX 77077-4745

Phone 281-271-8514 · Fax 346-207-8514

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