Individual provider · Type 1 NPI

Kaely Owen

Family Nurse Practitioner · Riverside, CA

NPI number 1730634270 Active

Practice location

7117 Brockton Ave
Riverside, CA 92506-2658

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X801616 (CA)
Family Nurse Practitioner Primary 363LF0000X95004779 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1730634270

Kaely Owen's National Provider Identifier is 1730634270, issued on Aug 24, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Riverside, CA. The record was last updated on Aug 27, 2016.