Provider Demographics
NPI:1104442821
Name:BOWMAN, KALI (LPC, LMAC)
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:LPC, LMAC
Other - Prefix:
Other - First Name:KALI
Other - Middle Name:
Other - Last Name:DOREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LMAC
Mailing Address - Street 1:8220 E OXFORD CIR APT 16102
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-1893
Mailing Address - Country:US
Mailing Address - Phone:518-335-1581
Mailing Address - Fax:
Practice Address - Street 1:400 N WOODLAWN ST STE 14A
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-4343
Practice Address - Country:US
Practice Address - Phone:316-375-6721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01716101YA0400X
KS03870101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)