Provider Demographics
NPI:1376041616
Name:BOWDEN, KALEIGH MARIE
Entity Type:Individual
Prefix:
First Name:KALEIGH
Middle Name:MARIE
Last Name:BOWDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KALEIGH
Other - Middle Name:MARIE
Other - Last Name:PANNONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2323 S TRUNK RD APT 6
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-5940
Mailing Address - Country:US
Mailing Address - Phone:907-746-6645
Mailing Address - Fax:866-896-1408
Practice Address - Street 1:2323 S TRUNK RD APT 6
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-5940
Practice Address - Country:US
Practice Address - Phone:907-746-6645
Practice Address - Fax:866-896-1408
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula