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Individual

JANNICE OWENS AARON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
120 E ADAMS ST, STE 4, LA GRANGE, KY 40031-1278
(502) 222-3281
(502) 225-5796
Mailing address
120 E ADAMS ST, STE 4, LA GRANGE, KY 40031-1278
(502) 222-3281
(502) 225-5796

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
19703
KY
2085N0700X
Neuroradiology Physician
19703
KY
2085N0904X
Nuclear Radiology Physician
19703
KY
2085R0202X
Diagnostic Radiology Physician
Primary
19703
KY
2085U0001X
Diagnostic Ultrasound Physician
19703
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64197031
KY
Enumeration date
06/02/2006
Last updated
11/09/2007
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