Individual
WENDI A OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 ROSE ST, HX302, LEXINGTON, KY 40536-0293
(859) 323-5069
(859) 257-5128
Mailing address
800 ROSE ST, HX302, LEXINGTON, KY 40536-0293
(859) 323-5069
(859) 257-5128
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2010013461
MO
2085R0202X
Diagnostic Radiology Physician
Primary
48921
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48921
KENTUCKY MEDICAL LICENSE
KY
Enumeration date
06/23/2010
Last updated
06/30/2016
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