Individual
CECELIA A POWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3510 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 864-8765
(765) 864-8762
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01066978A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947320
—
IN
05
—
739698000
—
MN
01
—
P01270925
RR MEDICARE
IN
Enumeration date
08/12/2006
Last updated
11/27/2023
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