Individual
DR. KATHLEEN MARIE POWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST BAR 913, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 726-7782
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 887-4232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
224264
MA
208000000X
Pediatrics Physician
224264
MA
Other
Enumeration date
10/28/2005
Last updated
07/19/2012
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