Provider Demographics
NPI:1215698469
Name:BOWENS, ADAM (DVM)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:BOWENS
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 US HIGHWAY 119 N
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-3302
Mailing Address - Country:US
Mailing Address - Phone:859-321-1956
Mailing Address - Fax:
Practice Address - Street 1:508 US HIGHWAY 119 N
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-3302
Practice Address - Country:US
Practice Address - Phone:859-321-1956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-09
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY247061208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice