Heather Bowman

Individual provider Active NPI Case Manager/Care Coordinator · Kennett, MO

NPI 1043756364 · NPPES record last updated Jan 10, 2017

Key facts

NPI
1043756364
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
875 Hwy VV
Kennett, MO 63857
Phone
(573) 888-5925
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

875 Hwy VV
Kennett, MO 63857

Mailing address

875 Hwy VV
Kennett, MO 63857

Other providers in Kennett, MO

All providers in Kennett, MO · Case Manager/Care Coordinator in Missouri

Sources for this page

Verify at the official NPI Registry.