Individual provider · Type 1 NPI

Kiley Ann Owen, PA

Medical Physician Assistant · Urbana, IL

NPI number 1073754628 Active

Practice location

611 W Park St, Emergency
Urbana, IL 61801-2529

Fax (217) 383-4014

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085003414 (IL)
Medical Physician Assistant Primary 363AM0700X085003414 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1073754628

Kiley Ann Owen, PA's National Provider Identifier is 1073754628, issued on Mar 11, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Urbana, IL. The record was last updated on Jul 28, 2025.