Organization
CHEVY CHASE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C OWEN MD (OWNER)
(859) 269-7337
Entity
Organization
Contact information
Practice address
330 ROMANY RD, LEXINGTON, KY 40502-2404
(859) 269-7337
(859) 335-0157
Mailing address
330 ROMANY RD, LEXINGTON, KY 40502-2404
(859) 269-7337
(859) 335-0157
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063981231
NPI
KY
01
—
1669453635
NPI
KY
Enumeration date
02/14/2020
Last updated
02/14/2020
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