Provider Demographics
NPI:1447775226
Name:MOWRER, KATHRYN CLAIRE (OD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:CLAIRE
Last Name:MOWRER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:CLAIRE
Other - Last Name:HANCOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1015 BEAUMONT RD
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-4572
Mailing Address - Country:US
Mailing Address - Phone:870-723-7342
Mailing Address - Fax:
Practice Address - Street 1:5031 FORD PKWY STE 113
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-5287
Practice Address - Country:US
Practice Address - Phone:205-424-2733
Practice Address - Fax:888-424-6893
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-D82-TA-A91152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist