Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 2015039913 | MO |
N | 207RG0100X | Gastroenterologist | A107916 | CA |
N | 207RG0100X | Gastroenterologist | MD440215 | PA |
NPI | 1013147206 |
---|---|
Provider Name | Hillary Lane Bownik |
First Address | Kansas City, MO 64111-5936 |
Second Address | Kansas City, MO 64111-5936 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2009 |
Last Update Date | 28/01/2020 |