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NPI Code Detail

MEDICARE: JANNICE OWENS AARON M.D.

MEDICARE:   JANNICE OWENS AARON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician19703KY
22085B0100XBody Imaging Physician19703KY
32085N0700XNeuroradiology Physician19703KY
42085U0001XDiagnostic Ultrasound Physician19703KY
52085N0904XNuclear Radiology Physician19703KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528005865
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANNICE OWENS AARON M.D.
Provider Business Mailing Address
First Line : 120 E ADAMS ST
Second Line : STE 4
City : LA GRANGE
State : KY
Zip : 40031-1278
Country : US
Telephone Number : 502-222-3281
Fax Number : 502-225-5796
Provider Business Practice Location Address
First Line : 120 E ADAMS ST
Second Line : STE 4
City : LA GRANGE
State : KY
Zip : 40031-1278
Country : US
Telephone Number : 502-222-3281
Fax Number : 502-225-5796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 11/09/2007

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Directions to “ JANNICE OWENS AARON M.D.” Practice Location

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