Individual
MRS. KATHRYN ANN POWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2590 OGDEN AVE, AURORA, IL 60504-5900
(630) 375-3579
Mailing address
2970 COMPTON RD, AURORA, IL 60504-5294
(630) 820-8369
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
96000338
IL
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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