Provider Demographics
NPI:1609874320
Name:BOWLES, F KIRK (MD)
Entity Type:Individual
Prefix:
First Name:F
Middle Name:KIRK
Last Name:BOWLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 W MAIN ST
Mailing Address - Street 2:STE 100
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-1344
Mailing Address - Country:US
Mailing Address - Phone:615-453-5155
Mailing Address - Fax:615-444-5915
Practice Address - Street 1:1670 W MAIN ST
Practice Address - Street 2:STE 100
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-1344
Practice Address - Country:US
Practice Address - Phone:615-453-5155
Practice Address - Fax:615-444-5915
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN25834207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1238610001OtherDMERC
TN3061741OtherBLUE CROSS BLUE SHIELD
TN1034233OtherAETNA -HMO
TN913187OtherBLOCKVISION
TN3813892OtherHEALTHSPRING
TN7112178OtherCIGNA -PPO
TN7112178OtherCIGNA HMO
TN3813892Medicaid
TN5856568OtherAETNA MC
TN5856568OtherAETNA EPO
TN621298175OtherDEFAULT
TN180031039OtherPALMETTO GBA
TN375900325OtherVISION SERVICE
TN3061741OtherBCBS ADVANTAGE
TN3813892OtherHEALTHSPRING
TN3813892Medicare ID - Type Unspecified