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DR. KENNETH LEE BOWMAN MD
NPI 1396808275
Radiology - Diagnostic Radiology in Lady Lake, FL

Active since December 19, 2006
1150 SALIDO AVE, LADY LAKE, FL 32159(715) 610-7401(844) 395-8871 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Lee Bowman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH LEE BOWMAN MD (NPI 1396808275) is an individual diagnostic radiology provider in Lady Lake, Florida, licensed in Wisconsin (43368) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1396808275
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KENNETH LEE BOWMANCredential: MD
Location Address1150 SALIDO AVELady Lake, FL 32159
Mailing Address1150 Salido AveLady Lake, FL 32159 · (715) 635-0165 · Fax (844) 395-8871
Phone(715) 610-7401
Fax(844) 395-8871
Sole ProprietorNo
Enumeration DateDecember 19, 2006
Last NPPES UpdateOctober 20, 2021
NPPES CertifiedOctober 20, 2021
✔ NPI 1396808275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WI · 43368
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License ME146719 (FL), 43368-20 (WI)
1150 SALIDO AVE, Lady Lake, FL 32159
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Other Identifiers 1

Medicaid34136600WI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUSAN LYN BOWMAN FNP-BC, APRN
Nurse Practitioner
1150 SALIDO AVE
LADY LAKE, FL 32159
Lake County (715) 610-7401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Bowman's NPI number?

The NPI number for Kenneth Bowman is 1396808275. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Kenneth Bowman located?

Kenneth Bowman practices at 1150 Salido Ave, Lady Lake, FL 32159. The listed phone number is (715) 610-7401.

What is Kenneth Bowman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kenneth Bowman was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.