Provider Demographics
NPI:1568242733
Name:BOWLES, BRITTANY KRISTIN
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:KRISTIN
Last Name:BOWLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 622
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:OK
Mailing Address - Zip Code:73098-0622
Mailing Address - Country:US
Mailing Address - Phone:405-913-9834
Mailing Address - Fax:
Practice Address - Street 1:302 E CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:OK
Practice Address - Zip Code:73098-5802
Practice Address - Country:US
Practice Address - Phone:405-913-9834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist