Organization
PRIME HEALTH LLC
Active
Other names
Prime Health Clinic Llc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY POWELL DO (OWNER/ PHYSICIAN)
(747) 500-4253
Entity
Organization
Contact information
Practice address
900 E MAIN ST STE 106, GRASS VALLEY, CA 95945-5853
(747) 500-4253
Mailing address
900 E MAIN ST STE 106, GRASS VALLEY, CA 95945-5853
(747) 500-4253
(747) 356-4377
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
10/01/2025
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