Kelly J Bowen

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

40 Centre Dr Ste 100
Orchard Park, NY 14127-4100

Phone

(716) 667-2294

NPI assigned

Aug 1, 2025

Last updated

Aug 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1467336743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CENTRE DR STE 100",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274100",
            "telephone_number": "716-667-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CENTRE DR STE 100",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274100",
            "telephone_number": "716-667-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "KELLY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Rose Bork, PA-C
• Madelyn Borrelli
• Jennifer M Bottororff
• Noah C Bourne, DNP, AGPCNP-BC
• Barbara Ann Bowen, MS RD CDN
• Sandra F. Bowens Howard, SLP
• Lori Ann Bowman, M.D.
• Jenny Caroline Bradley, PT
• Timothy M Bradley, MSW
• Robert John Brandon Jr.

• Specialist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.