Individual
KEVIN A. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
6135 PARK SOUTH DR STE 510, CHARLOTTE, NC 28210-0100
(704) 749-3116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2015-02395
NC
207L00000X
Anesthesiology Physician
ME130287
FL
390200000X
Student in an Organized Health Care Education/Training Program
182885
NC
Other
Enumeration date
05/09/2012
Last updated
09/23/2024
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