Individual
KELLY OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4150 V ST, PSSB 2100, SACRAMENTO, CA 95817-1460
(916) 734-5010
(916) 734-7950
Mailing address
4150 V ST, PSSB 2100, SACRAMENTO, CA 95817-1460
(916) 734-5010
(916) 734-7950
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A101718
CA
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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