Individual
LARRY M OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NRP
Contact information
Practice address
22 MERCY CT, IRVINE, KY 40336-1331
(606) 723-2124
Mailing address
168 E REYNOLDS RD STE 130, LEXINGTON, KY 40517-1317
(859) 554-5067
(859) 818-0324
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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