Individual
LARRY M OWENS
Active
Individual
LARRY M OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NRP
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
1019717
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019717
KY BOARD OF EMERGENCY MEDICAL SERVICES
KY
01
—
M5040990
NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS (NREMT)
—
Enumeration date
12/14/2019
Last updated
12/14/2019
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