Individual
DR. JERA REDMAN-OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1746 HIGHWAY 44 E, SHEPHERDSVILLE, KY 40165-6131
(502) 955-7102
(502) 531-9303
Mailing address
1746 HIGHWAY 44 E, SHEPHERDSVILLE, KY 40165-6131
(502) 955-7102
(502) 531-9303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7952
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7952
KY LICENSE
KY
Enumeration date
10/25/2006
Last updated
08/03/2012
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