| Doctor Name: | MS. KATHY ANN BOWERS |
| NPI Number: | 1619346780 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, CDE |
| License Number: | 4704170807 |
| Business Practice Address: | 2300 N. Stallman Rd Suttons Bay, MI - 49682 |
| Business Phone Number: | 3215347481 |
| Business Fax Number: | 2315347460 |
| Mailing Address: | 2605 West Bayshore Dr., PESHAWBESTOWN |
| State: | MI |
| Postal Code: | 49682 |
| Phone Number: | 2315347200 |
| Fax Number: | 2315347460 |
| NPI Enumeration Date: | 09/18/2015 |
| NPI Last Update Date: | 09/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 4704170807 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |