Provider Demographics
NPI:1740570803
Name:BOWERS, KATHARINE BLAIR (MD)
Entity Type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:BLAIR
Last Name:BOWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:KATHARINE
Other - Middle Name:BLAIR
Other - Last Name:COBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2937 FOX CHASE LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4400
Mailing Address - Country:US
Mailing Address - Phone:804-372-3473
Mailing Address - Fax:804-299-4021
Practice Address - Street 1:2937 FOX CHASE LN
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4400
Practice Address - Country:US
Practice Address - Phone:804-372-3473
Practice Address - Fax:804-299-4021
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101256070208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics