Individual
LISA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3999 FT. CAMPBELL BLVD, HOPKINSVILLE, KY 42240
(270) 886-2205
(270) 886-0392
Mailing address
3999 FT. CAMPBELL BLVD, HOPKINSVILLE, KY 42240
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1076728
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30602015
—
KY
Enumeration date
08/12/2013
Last updated
08/12/2013
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