Basic Information
| Provider Information | |||||||||
| NPI: | 1851357453 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOWMAN | ||||||||
| FirstName: | PATRICK | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11409 CANTERBURY CIRCLE | ||||||||
| Address2: | |||||||||
| City: | LEAWOOD | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662112934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9134913200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10918 ELM AVENUE | ||||||||
| Address2: | CRITTENTON CHILDRENS CENTER | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 64134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8167656600 | ||||||||
| FaxNumber: | 8167674159 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MDR9576 | MO | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 0420681 | KS | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.