Individual
ROGER KIRK OWENS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4123 DUTCHMANS LN, SUITE 401, LOUISVILLE, KY 40207-4707
(502) 584-7525
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
43341
KY
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
43341
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000672943
NLS/ANTHEM
—
01
—
000052154Y
NLS/HUMANA
—
01
—
117506
NLS/SIHO
—
05
—
200995020
—
IN
01
—
50029766
NLS/PHP
—
05
—
7100126910
—
KY
01
—
9077569
NLS/AETNA
—
01
—
9662652
NLS/CIGNA
—
Enumeration date
02/01/2007
Last updated
01/20/2021
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