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Individual
MR. KENNETH JAMES POWELL III
Active
Individual
MR. KENNETH JAMES POWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR21318400
NJ
163W00000X
Registered Nurse
RN636091
PA
363L00000X
Nurse Practitioner
Primary
26NJ01288700
NJ
Other
Enumeration date
01/26/2022
Last updated
04/01/2022
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