Individual
DR. DENNIS LEE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 302, PADUCAH, KY 42003
(270) 575-4551
(270) 575-4560
Mailing address
PO BOX 7466, PADUCAH, KY 42002-7466
(270) 575-4551
(270) 575-4560
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
20868
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000066139
BC BS
KY
01
—
160025054
RR MEDICARE
KY
05
—
64208689
—
KY
Enumeration date
11/21/2006
Last updated
07/08/2014
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