Provider Demographics
NPI:1326396904
Name:DOWIS, SILEEN CHRISTINE (PA)
Entity Type:Individual
Prefix:
First Name:SILEEN
Middle Name:CHRISTINE
Last Name:DOWIS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SILEEN
Other - Middle Name:CHRISTINE
Other - Last Name:KAMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9151 NE 81ST TER STE 200
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-1312
Mailing Address - Country:US
Mailing Address - Phone:913-451-7546
Mailing Address - Fax:816-781-8509
Practice Address - Street 1:9151 NE 81ST TER STE 200
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-1312
Practice Address - Country:US
Practice Address - Phone:913-451-7546
Practice Address - Fax:816-781-8509
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012028518363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant