Individual provider · Type 1 NPI

Kelly Owen

Acute Care Nurse Practitioner · Riverside, CA

NPI number 1255082673 Active

Practice location

4646 Brockton Ave Ste 203
Riverside, CA 92506-0104

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XNP95019278 (CA)

Acute Care Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1255082673

Kelly Owen's National Provider Identifier is 1255082673, issued on Jan 17, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Riverside, CA. The record was last updated on Jun 5, 2023.