Individual
MS. KIMBERLY ORNEESE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
11122 STEELEWATER CT, INDIANAPOLIS, IN 46235-4798
(317) 728-5514
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28141885A
IN
163WE0003X
Emergency Registered Nurse
28141885A
IN
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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