Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Jo Bowie, PA

Individual provider Medical Physician Assistant · NPI 1548269434

Kelly Jo Bowie, PA is a Physician Assistant in Louisville, Kentucky. Qualified in 2001, 25 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group and accepts Medicare assignment. Licensed in Kentucky, Massachusetts and New York.

Years since qualifying
25
Licensed in
KY, MA, NY
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6420 Dutchmans Pkwy Ste 200
Louisville, KY 40205-3373
Phone: (502) 891-8300
Fax: (502) 891-8338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC169 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 011791 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA5579 (MA)

Record details

NPI number1548269434
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 21, 2005
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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