Individual
SARAH POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 827-7700
Mailing address
3065 SMITH STAPLES RD, HENDERSON, KY 42420-9326
(270) 577-6894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015371
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-3448860
SS-4- IRS
—
05
—
85-3448860
—
KY
Enumeration date
11/29/2020
Last updated
11/29/2020
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