Individual
PHYLLIS LEVON POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8116 MONTERO DR, PROSPECT, KY 40059-9403
(502) 407-1468
Mailing address
8116 MONTERO DR, PROSPECT, KY 40059-9403
(502) 407-1468
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
1166591
KY
163WG0000X
General Practice Registered Nurse
1166591
KY
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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