Provider Demographics
NPI:1174920557
Name:BOWEN, KELLY ROSE (DO)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:ROSE
Last Name:BOWEN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:9 INDUSTRIAL RD STE 5
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3736
Mailing Address - Country:US
Mailing Address - Phone:508-473-1480
Mailing Address - Fax:508-473-1210
Practice Address - Street 1:100 MEDWAY RD STE 401
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2923
Practice Address - Country:US
Practice Address - Phone:508-634-7338
Practice Address - Fax:508-634-7315
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2024-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA273883207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology