Provider Demographics
NPI:1699950964
Name:OWENS, KITTRA T (DPM)
Entity type:Individual
Prefix:DR
First Name:KITTRA
Middle Name:T
Last Name:OWENS
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Gender:F
Credentials:DPM
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Mailing Address - Street 1:6900 NORTH PECOS ROAD
Mailing Address - Street 2:VA SOUTHERN NEVADA HEALTHCARE SYSTEM
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086
Mailing Address - Country:US
Mailing Address - Phone:702-791-9000
Mailing Address - Fax:702-224-6950
Practice Address - Street 1:6900 NORTH PECOS ROAD
Practice Address - Street 2:VA SOUTHERN NEVADA HEALTHCARE SYSTEM
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086
Practice Address - Country:US
Practice Address - Phone:702-791-9000
Practice Address - Fax:702-224-6950
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2015-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0103301015213ES0103X
MI5901002209213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery