Individual
KEVIN J POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 GAFFNEY RD STE 7440, COMMANDER USA MEDDAC AK MCUC MMD (ATTN CREDENTIALS), FT WAINWRIGHT, AK 99703-7440
(907) 353-5418
(907) 353-4847
Mailing address
1060 GAFFNEY RD STE 7440, COMMANDER USA MEDDAC AK MCUC MMD (ATTN CREDENTIALS), FT WAINWRIGHT, AK 99703-7440
(907) 353-5418
(907) 353-4847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16841
IA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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