Provider Demographics
NPI:1841388808
Name:BOWEN, KIMBERLY DUNCAN (MA)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:DUNCAN
Last Name:BOWEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 MIDDLE RD. #B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-4472
Mailing Address - Country:US
Mailing Address - Phone:812-372-1886
Mailing Address - Fax:812-372-8156
Practice Address - Street 1:603 CLIFTY DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-1610
Practice Address - Country:US
Practice Address - Phone:812-273-6262
Practice Address - Fax:812-273-1915
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23001441A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist