Individual
KEITH BENNETT OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8025 STAGE HILLS BLVD, BARTLETT, TN 38133
(901) 757-3540
(901) 202-3315
Mailing address
8110 WALNUT RUN RD, CORDOVA, TN 38018
(901) 757-3550
(901) 757-3549
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36072
TN
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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