Individual
DR. KIM RANELL OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
85 MORNING GLORY DR, EASTON, CT 06612-2141
(203) 374-4462
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
029795
CT
Other
Enumeration date
11/15/2012
Last updated
12/08/2016
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