Kendell Bowman, OPA-C/CSA/ SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

13-561 Issued in CO

Practice address

3438 Topside Rd
Knoxville, TN 37920-6033

Phone

(505) 270-2367

NPI assigned

Nov 4, 2013

Last updated

Nov 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1174952782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 TOPSIDE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379206033",
            "telephone_number": "505-270-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 TOPSIDE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379206033",
            "telephone_number": "505-270-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "KENDELL",
        "credential": "OPA-C/CSA/ SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "13-561",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "DC",
            "license": "4046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Quinton Bowling, CRNA
• Chandler Paul Bowman
• Eileen S Bowman
• Kari Bowman, PHARMD
• Kelly Elizabeth Bowman, NP
• Makenzie Bowman, PA-C
• Melissa Bowman
• Michael C Bowman Jr., FNP
• Rachel D Bowman, M.D.
• Rebecca Allena Danielle Bowman

• Surgical Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Surgical Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.