Individual
MRS. KRISTA JANE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
350 EASTERN ST, KINGMAN, AZ 86401-5381
(928) 753-1919
(928) 753-1418
Mailing address
350 EASTERN ST, KINGMAN, AZ 86401-5381
(928) 753-1919
(928) 753-1418
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP048050
AZ
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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