Individual
ERIN BETH OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 EAST CHESTNUT STREET, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 629-5865
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 629-6000
(502) 629-5865
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
40673
KY
208000000X
Pediatrics Physician
40673
KY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
40673
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000712134
ANTHEM
KY
05
—
200892320
—
IN
01
—
50032920
PASSPORT
KY
05
—
710025610
—
KY
Enumeration date
02/03/2007
Last updated
10/27/2020
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