Individual
DR. DOUGLAS GERALD OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2704 OLD ROSEBUD RD, LEXINGTON, KY 40509-8627
(859) 263-4361
Mailing address
609 IMPERIAL LAKES RD, RICHMOND, KY 40475-8075
(859) 200-1900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23349
KY
207W00000X
Ophthalmology Physician
Primary
23349
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174400000
—
KY
05
—
2806548
—
OH
05
—
64233497
—
KY
Enumeration date
06/01/2005
Last updated
04/14/2022
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