Individual
SHANNON K POWELL
Active
Individual
SHANNON K POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
02004653A
IN
2080P0202X
Pediatric Cardiology Physician
Primary
312993
LA
Other
Enumeration date
04/02/2012
Last updated
01/30/2026
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