| Doctor Name: | KATHRYN BOWEN |
| NPI Number: | 1356752778 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00493400 |
| Business Practice Address: | 831 Kings Hwy Ste 100 West Deptford, NJ - 080963162 |
| Business Phone Number: | 8568538730 |
| Business Fax Number: | 8568457198 |
| Mailing Address: | 831 Kings Hwy Ste 100, WEST DEPTFORD |
| State: | NJ |
| Postal Code: | 080963162 |
| Phone Number: | 8568538730 |
| Fax Number: | 8568457198 |
| NPI Enumeration Date: | 05/20/2014 |
| NPI Last Update Date: | 05/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00493400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |