Individual
DR. TERRY DOUGLAS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 252-1563
(620) 252-1692
Mailing address
PO BOX 993, COFFEYVILLE, KS 67337-0907
(620) 252-1684
(620) 252-1098
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
04-14232
KS
Other
Enumeration date
06/28/2006
Last updated
07/09/2007
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