Individual
KILEY ANN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
611 W PARK ST, EMERGENCY, URBANA, IL 61801-2529
(217) 383-3313
(217) 383-4014
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
(217) 383-4014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003414
IL
363AM0700X
Medical Physician Assistant
Primary
085003414
IL
Other
Enumeration date
03/11/2009
Last updated
07/28/2025
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