# TERRY D POWELL RADIATION ONCOLOGIST, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093047185
- **Authorized official:** TERRY DOUGLAS POWELL M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (620) 252-1684

## Contact information

- **Practice address:** 1400 W 4TH ST,, RADIATION ONCOLOGY DEPT, COFFEYVILLE, KS 67337
- **Practice address phone:** (620) 252-1684
- **Practice address fax:** (620) 252-1692
- **Mailing address:** PO BOX 993, COFFEYVILLE, KS 67337-0993
- **Mailing address phone:** (620) 252-1684
- **Mailing address fax:** (620) 252-1692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0203X | Therapeutic Radiology Physician | 04-14232 | KS | Yes |
| 2085R0203X | Therapeutic Radiology Physician | 9106 | OK | — |

## Other

- **Enumeration date:** 02/01/2010
- **Last updated:** 02/01/2010