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Individual

KENDALL OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
47312 TANIA CT, PLYMOUTH, MI 48170-3887
(734) 502-2222
Mailing address
47312 TANIA CT, PLYMOUTH, MI 48170-3887

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704354690
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704354690
MI

Other

Enumeration date
07/10/2024
Last updated
10/06/2025
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