Provider Demographics
NPI:1184038069
Name:OWENS, KIMBERLY (DO)
Entity type:Individual
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First Name:KIMBERLY
Middle Name:
Last Name:OWENS
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Gender:F
Credentials:DO
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Mailing Address - Street 1:6 WELLNESS WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2156
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:1783 ROUTE 9 STE 104
Practice Address - Street 2:
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-2465
Practice Address - Country:US
Practice Address - Phone:518-836-2428
Practice Address - Fax:518-836-2413
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2024-05-09
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Provider Licenses
StateLicense IDTaxonomies
NY3036132085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging