Individual
MRS. KIMBERLY LOUISE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-6870
Mailing address
1382 BISHOP RD, GROSSE POINTE PARK, MI 48230-1146
(508) 922-8064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004207
CT
363A00000X
Physician Assistant
25MP00236100
NJ
363A00000X
Physician Assistant
50.003040
OH
363A00000X
Physician Assistant
5601005713
MI
363AM0700X
Medical Physician Assistant
004207
CT
363AS0400X
Surgical Physician Assistant
Primary
004207
CT
Other
Enumeration date
05/08/2010
Last updated
01/17/2022
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