Kenny T Owens, CRNA | |
624 Hospital Dr, Mountain Home, AR 72653-2955 | |
(870) 424-1000 | |
(870) 424-6616 |
Full Name | Kenny T Owens |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 624 Hospital Dr, Mountain Home, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497705305 | NPI | - | NPPES |
771090601 | Other | AR | BREASTCARE |
115215701 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C00131 (Arkansas) | Primary |
Entity Name | Baxter County Regional Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114178753 PECOS PAC ID: 0042389264 Enrollment ID: O20081212000269 |
Mailing Address | Practice Location Address |
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Kenny T Owens, CRNA Po Box 1269, Mountain Home, AR 72654-1269 Ph: (870) 424-7070 | Kenny T Owens, CRNA 624 Hospital Dr, Mountain Home, AR 72653-2955 Ph: (870) 424-1000 |
Ms. Paula Stork, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 160 Highway 201 N, Mountain Home, AR 72653 Phone: 870-508-2100 Fax: 870-508-2150 | |
Jeffrey Dupre Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 | |
Mr. William R Garner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Dept. 4610, Mountain Home, AR 72653 Phone: 870-508-1810 Fax: 202-209-3049 | |
Betty S Tiner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 624 Hospital Drive, Mountain Home, AR 72653 Phone: 870-508-1000 | |
Aaron May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Drive, Dept 4610, Mountain Home, AR 72653 Phone: 870-508-1000 | |
Lacey Hlass, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 |