Individual
DR. ROWENA S AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 772-8332
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01052881A
IN
208000000X
Pediatrics Physician
Primary
38255
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200293810
—
IN
Enumeration date
02/20/2006
Last updated
07/02/2019
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