Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Owen Payne Kusick

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073064804

Owen Payne Kusick is a Student in an Organized Health Care Education/Training Program in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016

Practice location Address checks out

16717 49th Pl N
Plymouth, MN 55446
Phone: (763) 592-9613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MN)

Record details

NPI number1073064804
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 17, 2016
Last updated in NPPESOctober 17, 2016
Mailing address16717 49th Pl N, Plymouth, MN 55446

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