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Individual

KENDRA OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3023 N BALLAS RD STE 200D, SAINT LOUIS, MO 63131-2328
(314) 996-7272
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(319) 996-7658

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023043566
MO

Other

Enumeration date
08/05/2020
Last updated
09/22/2025
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