Provider Demographics
NPI:1457741100
Name:OWENS, KAREN CATHALEEN (CPHT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:CATHALEEN
Last Name:OWENS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9502 MAGNOLIA RIDGE DR UNIT 202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-6777
Mailing Address - Country:US
Mailing Address - Phone:605-390-3093
Mailing Address - Fax:
Practice Address - Street 1:9502 MAGNOLIA RIDGE DR UNIT 202
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-6777
Practice Address - Country:US
Practice Address - Phone:605-390-3093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPT00028955183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician