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Individual

DR. KELLY OWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3801 S NATIONAL AVE STE 900, SPRINGFIELD, MO 65807-5210
(417) 885-3888
(417) 881-7268
Mailing address
PO BOX 9434, SPRINGFIELD, MO 65801-9434
(417) 885-3888
(417) 881-7268

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
04-40391
KS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2017031975
MO

Other

Enumeration date
04/18/2012
Last updated
02/07/2025
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