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Individual

KRISTIN OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
115 MANNING DR SW STE A202, HUNTSVILLE, AL 35801-4341
(256) 886-8529
Mailing address
115 MANNING DR SW STE A202, HUNTSVILLE, AL 35801-4341
(256) 886-8529

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1-121739
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-121739
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51109812
BC BS OF AL PROVIDER NUMBER
AL
Enumeration date
09/15/2010
Last updated
08/17/2021
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