Individual
KENYETA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6508 BROOKSTONE LN, APT. 106, FAYETTEVILLE, NC 28314-8010
(919) 593-0183
Mailing address
6508 BROOKSTONE LN, APT. 106, FAYETTEVILLE, NC 28314-8010
(919) 593-0183
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
F7R8Q5Q9
NY
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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