Bowman, Kenneth Lee

Bowman, Kenneth Lee is an individual health care provider with primary practice located at 1150 Salido Ave , Lady Lake FL 32159. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bowman, Kenneth Lee can be contacted via phone (715) 610-7401.

Contact Information

Primary practice address
1150 Salido Ave Lady Lake FL 32159
Phone: (715) 610-7401
Fax: (844) 395-8871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X ME146719 Florida
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 43368-20 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 43368 Wisconsin

Profile Details

NPI number 1396808275
LBN Legal business name Bowman, Kenneth Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Oct 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396808275 NPPES
Wisconsin MEDICAID 34136600

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