Individual
DR. KIM GORDON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3975 NAVARRE AVE, OREGON, OH 43616-3437
(419) 698-4949
(419) 698-9948
Mailing address
1326 S COY RD, OREGON, OH 43616-4140
(419) 698-4949
(419) 698-9948
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3262 T201
OH
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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