Kendra D Bowen, PAC
Kendra D Bowen, PAC is a Physician Assistant in Centralia, Illinois. Qualified in 2004, 22 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Illinois and New York.
- Years since qualifying
- 22
- Licensed in
- IL, NY
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
1441 W BroadwayCentralia, IL 62801-5613
Phone: (618) 532-9050
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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 085003158 (IL) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 010234 (NY) |
Record details
| NPI number | 1457318438 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | April 26, 2006 |
| Last updated in NPPES | November 12, 2020 |
| Certification date | November 12, 2020 |
| Mailing address | 1441 W Broadway, Centralia, IL 62801-5613 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Physician Services Corporation Of Southern Illinois Inc — 122 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |