Individual
DR. KRISTEN A POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 SCHOOL CREEK TRL, LUXEMBURG, WI 54217-1095
(920) 845-2351
(920) 845-9001
Mailing address
PO BOX 99, LUXEMBURG, WI 54217-0099
(920) 845-2351
(920) 845-9001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40224-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32488000
—
WI
Enumeration date
08/12/2006
Last updated
02/22/2013
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