Healthcare Provider Details

I. General information

NPI: 1437373404
Provider Name (Legal Business Name): KRISTI N OWENS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 05/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 ASHELAND AVE
ASHEVILLE NC
28801-4021
US

IV. Provider business mailing address

90 ASHELAND AVE
ASHEVILLE NC
28801-4021
US

V. Phone/Fax

Practice location:
  • Phone: 828-254-1111
  • Fax: 828-251-2744
Mailing address:
  • Phone: 828-254-1111
  • Fax: 828-251-2744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number2009-00639
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: