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Individual

MS. KAY M OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1505 NORTHSIDE BLVD, SUITE 3500, CUMMING, GA 30041-7623
(770) 886-3555
(770) 205-6501
Mailing address
1800 NORTHSIDE FORSYTH DR, SUITE 350, CUMMING, GA 30041-8416
(770) 205-6501
(770) 205-6501

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN131956 NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
789823518B
GA
Enumeration date
10/27/2006
Last updated
01/20/2017
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