Female

Kelley F. Bowman P.A.

Medical Physician Assistant in Melbourne, FL(View on Map)

Full Name

Kelley Frances Bowman P.A.

NPI Number

1518118173

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/01/2008

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9104618

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 410512
1314 OAK ST

City

Melbourne
Melbourne

State

FL
FL

Postal Code

32941-0512
32901-3111

Country

US
US

Telephone Number

(321) 727-7992
(321) 727-7992

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/07/2008

Provider Address

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