Individual
KEISHA K POWELL-YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3906 PUTNAM FLDS, CONVERSE, TX 78109-0707
(210) 313-9514
Mailing address
3906 PUTNAM FLDS, CONVERSE, TX 78109-0707
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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