Individual
VIRGINIA CHERYL OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 E 2ND ST, HARDINSBURG, KY 40143-2609
(270) 756-5792
(270) 756-5729
Mailing address
PO BOX 549, 113 E. 2ND ST, HARDINSBURG, KY 40143-0549
(270) 756-5792
(270) 756-5729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6153
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60061538
—
KY
Enumeration date
09/06/2005
Last updated
04/01/2014
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