JACK LOREN OWEN

WICHITA, KS
NPI1477143980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: KS  9411900)
Enumeration Date2021-01-20
Last Update Date2024-07-16
Business Address
JACK LOREN OWEN
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2699
Mailing Address
JACK LOREN OWEN
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2699