Provider Demographics
NPI:1013147206
Name:BOWNIK, HILLARY LANE (MD)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:LANE
Last Name:BOWNIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 WASHINGTON ST STE 5600
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5936
Mailing Address - Country:US
Mailing Address - Phone:816-561-2000
Mailing Address - Fax:816-932-7559
Practice Address - Street 1:4321 WASHINGTON ST STE 5600
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5936
Practice Address - Country:US
Practice Address - Phone:816-561-2000
Practice Address - Fax:816-932-7559
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD440215207RG0100X
CAA107916207RG0100X, 390200000X
MO2015039913207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program