Owen, Randal Wilson

Owen, Randal Wilson is an individual health care provider with primary practice located at 1700 Nicholasville Rd Suite 701, Lexington KY 40503-1431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Owen, Randal Wilson can be contacted via phone (859) 278-0396.

Contact Information

Primary practice address
1700 Nicholasville Rd Suite 701 Lexington KY 40503-1431
Phone: (859) 278-0396
Fax: (859) 277-5414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 22734 Kentucky

Profile Details

NPI number 1467403683
LBN Legal business name Owen, Randal Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 7th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467403683 NPPES
Kentucky MEDICAID 64227341

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