Individual
ROBERT POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
726 9TH AVE APT 204, HUNTINGTON, WV 25701-2741
(740) 646-0488
Mailing address
726 9TH AVE APT 204, HUNTINGTON, WV 25701-2741
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AT001382
WV
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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