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Organization
KENT L. POWELL, M.D., INC.
Active
Organization
KENT L. POWELL, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT L. POWELL M.D. (PRESIDENT)
(949) 363-9842
Entity
Organization
Contact information
Practice address
30011 IVY GLENN DR, SUITE 105 B, LAGUNA NIGUEL, CA 92677-5014
(949) 363-9842
(949) 388-5232
Mailing address
31407 EAST NINE DRIVE, LAGUNA NIGUEL, CA 92677-2911
(949) 363-9842
(949) 388-5232
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C24137
CA
Other
Enumeration date
08/07/2006
Last updated
03/23/2010
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