Individual
KENNETH OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
16642 N 40TH DR, PHOENIX, AZ 85053-2768
(602) 535-6330
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
297986
AZ
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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