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Organization
POWELL EMERGENCY PHYSICIANS LLC
Active
Organization
POWELL EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
7565 DANNAHER DR, POWELL, TN 37849-4029
(469) 401-2386
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
03/30/2018
Last updated
09/11/2019
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