DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY JO BOWIE, PA

Active

KELLY JO BOWIE, PA is a Physician Assistant healthcare provider located in LOUISVILLE, Kentucky. NPI 1548269434 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LOUISVILLE, KY

Registration Details

NPI Number
1548269434
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2005 (21.036627693194 yrs)
Last Updated
Apr 18, 2024
Licenses
011791 (NY)
PA5579 (MA)
TC169 (KY)

Practice Information

Address
6420 DUTCHMANS PKWY STE 200
LOUISVILLE, KY, 402053373
Browse KY providers · Browse ZIP 40205
Phone
5028918300
Fax
5028918338
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LOUISVILLE, KY

Name Credential NPI
MELISSA DAWN EDDS PA-C 1578566600
MR. JAMES SCOTT GAGEL PA 1073518262
MICHAEL E GILBERT PA-C 1265438550
CANDY SUE FISCHBACH PA-C 1992703383
KIRK A FOUGNIE PA-C 1295734747
MRS. TRACEY GREGORY MAYNOR PAC 1043219520
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.