OWEN PAYNE KUSICK
NPI 1073064804
Student in an Organized Health Care Education/Training Program in Plymouth, MN

Active since October 17, 2016
16717 49TH PL N, PLYMOUTH, MN 55446(763) 592-9613 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Owen Payne Kusick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OWEN PAYNE KUSICK (NPI 1073064804) is an individual student in an organized health care education/training program in Plymouth, Minnesota and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1073064804
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOWEN PAYNE KUSICK
Location Address16717 49TH PL NPlymouth, MN 55446
Mailing Address16717 49th Pl NPlymouth, MN 55446 · (763) 592-9613
Sole ProprietorNo
Enumeration DateOctober 17, 2016
NPI 1073064804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.

16717 49TH PL N, Plymouth, MN 55446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Owen Kusick's NPI number?

The NPI number for Owen Kusick is 1073064804. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Owen Kusick located?

Owen Kusick practices at 16717 49th Pl N, Plymouth, MN 55446. The listed phone number is (763) 592-9613.

What is Owen Kusick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Owen Kusick was last updated on October 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.