DR. KELLY KOSS BOWLIN


Address: 205 Wabasha St S, Saint Paul, MN 55107-1805
Phone: 6512938100

DR. KELLY KOSS BOWLIN (NPI# 1477582880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477582880
Entity Type Individual
Full Name DR. KELLY KOSS BOWLIN
Other Name DR. KELLY MARIE BOWLIN
Credential D.O.
Practice Address 205 Wabasha St S
Saint Paul
MN 55107-1805
Mailing Address 8170 33rd Ave S
Po Box 1309 Mail Stop 21110q
Minneapolis
MN 55425-4516
Practice Telephone 6512938100
Practice Fax Number 6512938106
Enumeration Date 2006-06-30
Last Update Date 2018-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
51737 MN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 2005017750- RESI MO Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
14000 Fairview Dr, Burnsville, MN 553375713 9529938693

Office Location

Street Address 205 WABASHA ST S
City SAINT PAUL
State MN
Zip Code 55107-1805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730184078 Chokchai Chareandee Internal Medicine 205 Wabasha St S, Saint Paul, MN 55107-1805 2005-06-14
1699334904 Jessica Determan Nurse Practitioner 205 Wabasha St S, Saint Paul, MN 55107-1805 2019-06-10
1326517541 Julian Andres Larrea Saavedra Physician Assistant 205 Wabasha St S, Saint Paul, MN 55107-1805 2018-11-16
1053818252 Mackenzie Thayer Student in an Organized Health Care Education/Training Program 205 Wabasha St S, Saint Paul, MN 55107-1805 2018-04-12
1215436076 Mardiya Kassim Jaffer Nurse Practitioner 205 Wabasha St S, Saint Paul, MN 55107-1805 2018-02-07
1023522877 Samantha Zarske Physician Assistant 205 Wabasha St S, Saint Paul, MN 55107-1805 2017-11-30
1184134173 Ghada Elnashar Pharmacist 205 Wabasha St S, Saint Paul, MN 55107-1805 2017-10-04
1972022267 Allison Brooks Nurse Practitioner 205 Wabasha St S, Saint Paul, MN 55107-1805 2017-09-18
1982132536 Erin Galegher Advanced Practice Midwife 205 Wabasha St S, Saint Paul, MN 55107-1805 2017-05-26
1679016000 Juliana Huber Nurse Practitioner 205 Wabasha St S, Saint Paul, MN 55107-1805 2016-12-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477944809 Marina Castillo Counselor 143 Isabel St. W, Saint Paul, MN 55107 2015-02-06
1134540123 Michelle M Lee Social Worker 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 2013-12-18
1376748574 Mary E. A. Horoshak Physical Therapist 155 S Wabasha St, Suite 130, St. Paul, MN 55107 2007-06-18
1821156050 Amherst H. Wilder Foundation Assisted Living Facility 469 Ada St, Saint Paul, MN 55107 2006-12-04
1407914674 Amherst H. Wilder Foundation Clinic/Center 516 Humboldt Ave, Saint Paul, MN 55107 2006-12-04
1780753681 Chad Randal Vickers Nurse Practitioner 135 Colorado Street East, Saint Paul, MN 55107 2006-11-06
1225122872 Elizabeth E Frost Family Medicine 153 Cesar Chavez Street, St Paul, MN 55107 2006-10-03
1619413606 Elizabeth Burgos Social Worker 153 Cesar Chavez St, Saint Paul, MN 55107 2017-01-13
1033561915 Isetta Pierre Marriage & Family Therapist 153 Cesar Chavez St, Saint Paul, MN 55107 2016-07-05
1366819609 Brittany Leach Advanced Practice Midwife 624 Smith Ave S, Saint Paul, MN 55107 2015-08-21
Find all providers in zip 55107

Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609028521 William Meyer Obstetrics & Gynecology 6517 Cherokee Trl, Edina, MN 55439-1108 2008-10-22
1083658181 Kimberly Anne Gerten Obstetrics & Gynecology 6565 France Ave S Ste 200, Edina, MN 55435-2141 2006-06-16
1568401313 Jerald W Reinhardt Obstetrics & Gynecology 1428 Central Ave Ne, East Grand Forks, MN 56721-1605 2006-06-06
1255339883 Kenneth M Palmer Obstetrics & Gynecology 1650 4th St Se, Rochester, MN 55904-4717 2005-07-08
1740286400 Susan Joyce Cushman Obstetrics & Gynecology 14001 Ridgedale Dr, Ste 200, Minnetonka, MN 55305-1753 2005-06-27
1114333754 Fairview Health Services Obstetrics & Gynecology 7450 France Ave S, Suite 240, Edina, MN 55435-4792 2014-07-03
1457648065 Marie C Nelson Obstetrics & Gynecology 811 2nd St Se, Little Falls, MN 56345-3559 2011-07-03
1770878928 Jill A Moes Obstetrics & Gynecology 200 1st St Sw, Rochester, MN 55905-0001 2011-06-16
1427366814 Leigh F Bauer Obstetrics & Gynecology 320 E Main St, Ob/gyn Dept, Crosby, MN 56441-1645 2010-09-20
1649398546 Women's Health & Laser Aesthetic Center, LLC Obstetrics & Gynecology 7250 France Ave S, Suite 102, Edina, MN 55435-4305 2007-03-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City SAINT PAUL
Zip Code 55107

Improve Information

Please comment or provide details below to improve the information on DR. KELLY KOSS BOWLIN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches