Individual
KEVIN ALAN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDC
Contact information
Practice address
1291 EXPRESSWAY LN, SPANISH FORK, UT 84660-1333
(801) 367-0394
Mailing address
155 N 100 E, SPANISH FORK, UT 84660-1803
(385) 225-0463
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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