Provider Demographics
NPI:1518522473
Name:BOWHAY, KIRA RAE WHEELER (DC)
Entity Type:Individual
Prefix:DR
First Name:KIRA
Middle Name:RAE WHEELER
Last Name:BOWHAY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 W 38TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-4625
Mailing Address - Country:US
Mailing Address - Phone:308-632-7094
Mailing Address - Fax:308-632-2961
Practice Address - Street 1:226 W 38TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-4625
Practice Address - Country:US
Practice Address - Phone:308-632-7094
Practice Address - Fax:308-632-2961
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2010111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor