Individual
KENISHA POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
(910) 378-1755
Mailing address
2822 CASHWELL DR # 314, GOLDSBORO, NC 27534-4302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
11552
NC
235Z00000X
Speech-Language Pathologist
Primary
14065494
NC
Other
Enumeration date
01/29/2018
Last updated
08/15/2019
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