NPI 1174952782

Kendell Bowman, OPACCSASAC

Practitioner Surgical Assistant Knoxville, TN

Practice location

Address: 3438 Topside Rd, Knoxville, TN 37920-6033
Phone: (505) 270-2367

Registered specialties (2)

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 13-561 (CO)

Other Specialist/Technologist, Other providers in Tennessee →

Surgical Assistant

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 4046 (DC)

Registry record

NPI: 1174952782
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Nov 2013
Record last updated: 4 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.