Individual
DR. KAYE KIP OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5540 RAPHAEL DR, EDINBURG, TX 78539-1407
(956) 362-6683
(956) 362-6809
Mailing address
PO BOX 4624, MCALLEN, TX 78502-4624
(956) 362-6683
(956) 362-6809
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
H6491
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
H6491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075KW
BCBS
TX
01
—
0900894
UNITED HEALTHCARE
—
01
—
106164100
DEPT. OF LABOR
—
01
—
123584
CHIPS
TX
01
—
129930101
VALLEY HEALTH PLAN
—
05
—
152741804
—
TX
01
—
5903260
AETNA
—
01
—
DC6602
MEDICARE RAILROAD
TX
Enumeration date
06/16/2005
Last updated
03/27/2023
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