Individual
WISAM N OWAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 VETERANS DR, DEPARTMENT OF VETERAN AFFAIRS MEDICAL CENTER, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
928 STAR GAZE DR, LEXINGTON, KY 40509-4471
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30142
KY
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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