Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0060489 | MD |
Y | 111NI0900X | Internist | D0060489 | MD |
N | 207RH0002X | Hospice and Palliative Medicine | D0060489 | MD |
NPI | 1043440019 |
---|---|
Provider Name | Karen Bowen |
First Address | York Haven, PA 17370-9160 |
Second Address | Baltimore, MD 21236-4981 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2009 |
Last Update Date | 23/07/2009 |