OWEN PAYNE KUSICK


Address: 16717 49th Pl N, Plymouth, MN 55446
Phone: 7635929613

OWEN PAYNE KUSICK (NPI# 1073064804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073064804
Entity Type Individual
Full Name OWEN PAYNE KUSICK
Practice Address 16717 49th Pl N
Plymouth
MN 55446
Practice Telephone 7635929613
Mailing Telephone 7635929613
Enumeration Date 2016-10-17
Last Update Date 2016-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program MN Student, Health Care

Office Location

Street Address 16717 49TH PL N
City PLYMOUTH
State MN
Zip Code 55446

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114552379 Molly M Mahoney Pharmacist 4110 Juneau Lane N, Plymouth, MN 55446 2020-03-09
1043696214 Kari Shoemaker Speech-Language Pathologist 5855 Cheshire Parkway, Plymouth, MN 55446 2015-08-10
1902206899 Kathleen E Steensma Nurse Practitioner 15700 37th Ave N. #110, Plymouth, MN 55446 2014-08-27
1851715163 Group Health Plan Inc Clinic/Center 5000 Fernbrook Ln N, Plymouth, MN 55446 2014-02-06
1588903009 Laura Davidson Physician Assistant 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 2013-02-04
1366680688 Walgreen Co Durable Medical Equipment & Medical Supplies 6025 Shenandoah Ln N, Plymouth, MN 55446 2009-01-23
1205046646 Merida A Miller Obstetrics & Gynecology 4155 Cty Rd 101 N, Plymouth, MN 55446 2007-05-23
1376684746 West Metro Ophthalmology, Pa Ophthalmology 15655 37th Ave N Ste 200, Plymouth, MN 55446 2007-02-09
1952401390 Grand St Paul Cvs LLC Pharmacy 4140 Rd 101 N, Plymouth, MN 55446 2006-09-25
1427156249 Oceanview Management Inc Dentist 15910 46th Ave N, Plymouth, MN 55446 2006-09-20
Find all providers in zip 55446

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558986281 Courtney Laperriere Student in an Organized Health Care Education/Training Program 19 Welton Dr, Plymouth, MA 02360-2367 2020-06-09
1053934588 Kailey Weichel Student in an Organized Health Care Education/Training Program 308 N Columbus Ave, Plymouth, NE 68424 2020-05-19
1568099661 Nikko Sirdenis Student in an Organized Health Care Education/Training Program 9065 Corey Ct, Plymouth, MI 48170-3497 2020-03-26
1437793676 Kaitlin Mccuskey Student in an Organized Health Care Education/Training Program 3050 Rosewood Ln N, Plymouth, MN 55441-2740 2019-10-31
1134760515 Natalie Ann Ondayko Student in an Organized Health Care Education/Training Program 1698 Nantucket Rd, Plymouth, MI 48170-7000 2019-10-07
1407406143 Peng Lee Student in an Organized Health Care Education/Training Program 190 Main St Apt C, Plymouth, NH 03264-1566 2019-09-15
1538722103 Maxwell E Johnson Student in an Organized Health Care Education/Training Program 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 2019-04-18
1013475540 Miqdad Tambawala Student in an Organized Health Care Education/Training Program 19 Highland Ave Ste 1057, Plymouth, NH 03264-1585 2019-03-04
1710480967 Jeffrey Beauregard Student in an Organized Health Care Education/Training Program 47088 Brooks Ln, Plymouth, MI 48170-3476 2018-03-14
1588164198 Mackenzie Rae Schuler Student in an Organized Health Care Education/Training Program 722 N Walnut St, Plymouth, IN 46563-1550 2018-02-20
Find all providers in PLYMOUTH

Competitor

Search similar providers

City PLYMOUTH
Zip Code 55446

Improve Information

Please comment or provide details below to improve the information on OWEN PAYNE KUSICK.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches