Individual
KENNETH PATRICK POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 SAMFORD AVE, SHREVEPORT, LA 71103-4239
(318) 226-3306
(318) 226-3319
Mailing address
3100 SAMFORD AVE, SHREVEPORT, LA 71103-4239
(318) 226-3306
(318) 226-3319
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD48720
TN
207X00000X
Orthopaedic Surgery Physician
T-1987
MS
207XP3100X
Pediatric Orthopaedic Surgery Physician
23488
MS
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
320573
LA
207XP3100X
Pediatric Orthopaedic Surgery Physician
P7970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08129884
—
MS
Enumeration date
07/11/2007
Last updated
03/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us