Provider Demographics
NPI:1508082181
Name:BOWES, KATHERINE L (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:L
Last Name:BOWES
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:532 BALTIMORE BLVD, SUITE 211
Mailing Address - Street 2:
Mailing Address - City:WESTMINATER
Mailing Address - State:MD
Mailing Address - Zip Code:21157
Mailing Address - Country:US
Mailing Address - Phone:717-406-9877
Mailing Address - Fax:
Practice Address - Street 1:410 MEADOW CREEK DR
Practice Address - Street 2:SUITE 209
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21158-9426
Practice Address - Country:US
Practice Address - Phone:410-751-3840
Practice Address - Fax:410-751-3874
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2019-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110-002001363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant