Provider Demographics
NPI:1053521229
Name:BOWLES, KAYE GRAVELIE (DMIN)
Entity type:Individual
Prefix:DR
First Name:KAYE
Middle Name:GRAVELIE
Last Name:BOWLES
Suffix:
Gender:F
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 LANGS LN
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-2123
Mailing Address - Country:US
Mailing Address - Phone:603-659-5666
Mailing Address - Fax:
Practice Address - Street 1:50 LANGS LN
Practice Address - Street 2:
Practice Address - City:NEWMARKET
Practice Address - State:NH
Practice Address - Zip Code:03857-2123
Practice Address - Country:US
Practice Address - Phone:603-659-5666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH33101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral