Individual
DR. RANDAL WILSON OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 NICHOLASVILLE RD, SUITE 701, LEXINGTON, KY 40503-1431
(859) 278-0396
(859) 277-5414
Mailing address
1700 NICHOLASVILLE RD, SUITE 701, LEXINGTON, KY 40503-1431
(859) 278-0396
(859) 277-5414
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22734
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64227341
—
KY
Enumeration date
05/12/2006
Last updated
12/07/2020
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