National Provider Identifier Database

KENDRA D BOWEN, PAC – NPI #1457318438
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

KENDRA D BOWEN, PAC
1441 W BROADWAY
CENTRALIA, IL62801-5613
Phone: 618-532-9050
Fax:
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for KENDRA D BOWEN

NPI Number 1457318438
Credentials PAC
Entity Individual
Enumeration date 04/26/2006
Last updated 11/12/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 085003158
  • NY License #: 010234
  • IL Other: 207988 MED GROUP #
  • IL Other: 208959 MED GRP #
  • IL Other: CE9335 RR GROUP #
  • IL Other: P00469189 RR MEDICARE PTAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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