Individual
KEITH POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1071 MILL RD, CLOVER, VA 24534-3309
(434) 222-9613
Mailing address
1071 MILL RD, CLOVER, VA 24534-3309
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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