| Doctor Name: | MS. KRISTIN LISBETH BOWNE |
| NPI Number: | 1306908082 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 16593 |
| Business Practice Address: | 269 Mount Hermon Rd Suite 205 Scotts Valley, CA - 950664078 |
| Business Phone Number: | 8316007381 |
| Business Fax Number: | 8314602730 |
| Mailing Address: | 269 Mount Hermon Rd, Suite 205 SCOTTS VALLEY |
| State: | CA |
| Postal Code: | 950664078 |
| Phone Number: | 8316007381 |
| Fax Number: | 8316007381 |
| NPI Enumeration Date: | 12/15/2006 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SR0400X |
| License Number: | 16593 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |