Individual
AMY J OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-7174
(660) 885-5948
Mailing address
PO BOX 7210, SHAWNEE MISSION, KS 66207-0210
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-27736
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
101649
MO
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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