Provider Demographics
NPI:1245227164
Name:KINI-BOWEN, DONNA (AP, DOM)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:KINI-BOWEN
Suffix:
Gender:F
Credentials:AP, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 ENSENADA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-8310
Mailing Address - Country:US
Mailing Address - Phone:407-375-5872
Mailing Address - Fax:
Practice Address - Street 1:2600 TEMPLE DR
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1371
Practice Address - Country:US
Practice Address - Phone:407-375-5872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2140171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist