Basic Information
| Provider Information | |||||||||
| NPI: | 1508082181 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOWES | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 532 BALTIMORE BLVD, SUITE 211 | ||||||||
| Address2: | |||||||||
| City: | WESTMINATER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21157 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7174069877 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 410 MEADOW CREEK DR | ||||||||
| Address2: | SUITE 209 | ||||||||
| City: | WESTMINSTER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211589426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4107513840 | ||||||||
| FaxNumber: | 4107513874 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2007 | ||||||||
| LastUpdateDate: | 02/27/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 0110-002001 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.