Owens, Kacie
Owens, Kacie is an individual health care provider with primary practice located at 830 Pennslyvania Avenue Suite 103, Charleston WV 25302-3389. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Owens, Kacie can be contacted via phone (304) 388-1552.Contact Information
Primary practice address
830 Pennslyvania Avenue Suite 103
Charleston WV 25302-3389
Phone: (304) 388-1552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN78736-CPNP | West Virginia |
Profile Details
| NPI number | 1528476793 |
|---|---|
| LBN Legal business name | Owens, Kacie |
| Credentials | PPCNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2014 |
| Last updated | Mar 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528476793 | NPPES |
| West Virginia | MEDICAID | 3810028354 |
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