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Kendra D Bowen, PAC
Physician Assistant in Centralia, Illinois
NPI 1457318438

Kendra D Bowen is a Physician Assistant based in Centralia, IL. Kendra D Bowen practices in Centralia, IL and has the professional credentials of PAC. The NPI Number for Kendra D Bowen is 1457318438 and holds a License No. 010234 (Illinois).

The current practice location address for Kendra D Bowen is 1441 W Broadway, Centralia, IL and can be reached out via phone at 618-532-9050.

Location: 1441 W Broadway, Centralia, IL, 62801-5613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457318438
Provider Name
Kendra D Bowen
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
1441 W Broadway, Centralia, IL, 62801-5613
Phone Number
618-532-9050
Fax Number
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00469189 01 IL RR MEDICARE PTAN
208959 01 IL MED GRP #
CE9335 01 IL RR GROUP #
207988 01 IL MED GROUP #
institution
Provider Business Practice Location Address Details
Address
1441 W Broadway
City
Centralia
State
Illinois
Zip
62801-5613
Phone Number
618-532-9050
Fax Number
person
Provider Business Mailing Address Details
Address
1441 W Broadway
City
Centralia
State
Illinois
Zip
62801-5613
Phone Number
618-532-9050
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085003158 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
010234 (New York)
Definition
Definition to come...
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