Kathryn Sue Bowman, RN
Individual provider Active NPI Community Health Registered Nurse · Elizabethton, TN
NPI 1356489124 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356489124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 030461 (TN)
- Practice address
- 403 E G St
Elizabethton, TN 37643-3223 - Phone
- (423) 543-2521
- Fax
- (423) 543-7348
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030461 | TN | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 030461 | TN | Yes |
Addresses
Primary practice location
403 E G St
Elizabethton, TN 37643-3223
Mailing address
110 Ezee St
Elizabethton, TN 37643-3847
Phone (423) 543-4420
Other providers in Elizabethton, TN
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Grace Reddick Gerlock Boerma
- Heather Nicole Bolton
- Ashley Danielle Bowman
- Angela L Boyd
- Brittany Bradburn
- Tina Braden
- Beverly Ann Bradshaw
- Shannon B Bramlette
All providers in Elizabethton, TN · Community Health Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.