Organization
HAROLD W OWENS, M.D.
Active
Other names
Irvington Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD WILBUR OWENS M.D. (MD/OWNER)
(270) 547-2011
Entity
Organization
Contact information
Practice address
109 CAROLINE ST., IRVINGTON, KY 40146-0367
(270) 547-2011
(270) 547-2031
Mailing address
PO BOX 367, IRVINGTON, KY 40146-0367
(270) 547-2011
(270) 547-2031
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13345
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062613
ANTHEM
—
01
—
011769099
RR MEDICARE
—
01
—
1049319
PASSPORT
—
01
—
1265701
MEDICARE
—
05
—
64133457
—
KY
Enumeration date
12/27/2007
Last updated
07/24/2008
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