Kasi Owens, LPN-M-IV
Individual provider Active NPI Licensed Practical Nurse · Lebanon, OH
NPI 1285089235 · NPPES record last updated Apr 27, 2016
Key facts
- NPI
- 1285089235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN-125485-M-IV (OH)
- Practice address
- 975 Kingsview Dr
BLDG B
Lebanon, OH 45036-9562 - Phone
- (513) 228-7800
- Fax
- (513) 228-7857
- NPI assigned
- Apr 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN-125485-M-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Heatlh Centers of Warren County, Inc. | Past | Accepting new patients | |
| Community Mental Health Centers of Warren County, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN-125485-M-IV | OH | Yes |
Addresses
Primary practice location
975 Kingsview Dr
BLDG B
Lebanon, OH 45036-9562
Mailing address
204 Cook Rd
Suite 400
Lebanon, OH 45036-9600
Phone (513) 228-7800
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- Otterbein Lebanon Retirement Living Community
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- Tiffany Owens
- Brandon Page
- Palarum, LLC
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All providers in Lebanon, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.