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Organization

KEVIN J POWERS

Active
Other names
Kevin J Powers DPM
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN J POWERS DPM (OWNER)
(812) 333-4422
Entity
Organization

Contact information

Practice address
1791 W 3RD ST, BLOOMINGTON, IN 47404-5029
(812) 333-4422
(812) 333-6698
Mailing address
PO BOX 1981, BLOOMINGTON, IN 47402-1981
(812) 333-4422
(812) 333-6698

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200347590A
IN
01
480019215
TRAVELERS MEDICARE
IN
Enumeration date
11/13/2006
Last updated
04/22/2024
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