| Doctor Name: | MRS. KRISTEN A. BOWERSOX |
| NPI Number: | 1295176907 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP-PC |
| License Number: | COA.14748-NP |
| Business Practice Address: | 3300 Riverside Dr Ste 200 Upper Arlington, OH - 432211738 |
| Business Phone Number: | 6144594200 |
| Business Fax Number: | |
| Mailing Address: | 3165 Jergens Pl, HILLIARD |
| State: | OH |
| Postal Code: | 430265006 |
| Phone Number: | 6149625334 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2013 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | COA.14748-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |