Individual
ROGER K OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
169 MEDICAL PARK DRIVE, FLEMINGSBURG, KY 41041
(606) 849-2675
(606) 849-2658
Mailing address
901 KENTON STATION DR, MAYSVILLE, KY 41056-9609
(606) 759-9353
(606) 759-0493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6293
KY MEDICARE GROUP #
KY
05
—
9500533600
—
KY
Enumeration date
03/14/2006
Last updated
12/04/2007
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