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Individual
TRACY A POWELL
Active
Individual
TRACY A POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
3010640
KY
208VP0014X
Interventional Pain Medicine Physician
71005716A
IN
363LF0000X
Family Nurse Practitioner
Primary
3010640
KY
363LF0000X
Family Nurse Practitioner
71005716A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201325570
—
IN
05
—
7100440050
—
KY
Enumeration date
05/07/2015
Last updated
12/06/2018
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