National Provider Identifier

Kelly Elisha R Bowen, NP

Kelly Elisha R Bowen, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rushville, NY and a listed phone number of (585) 554-4400.

NPI 1558728568Rushville, NYFamily Nurse Practitioner

Profile Overview

NPI
1558728568
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
January 21, 2016
Last Updated
September 04, 2025

Practice Location

  • 2 Rubin Dr
  • Rushville, NY 14544-9681

Phone: (585) 554-4400

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1558728568
Entity Type
Individual
Last Name
Bowen
First Name
Kelly
Middle Name
Elisha R
Credential
NP
Mailing Street Address
2 Rubin Dr
Mailing City
Rushville
Mailing State
NY
Mailing ZIP Code
14544-9681
Mailing Country
US
Mailing Phone
(585) 554-4400
Mailing Fax
(844) 683-9216
Practice Street Address
2 Rubin Dr
Practice City
Rushville
Practice State
NY
Practice ZIP Code
14544-9681
Practice Country
US
Practice Phone
(585) 554-4400
Practice Fax
(844) 683-9216
Enumeration Date
January 21, 2016
Last Updated
September 04, 2025
Sex
Female
Sole Proprietor
No
Certification Date
September 04, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)