Individual
KRISTINA N POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
119 BULIFANTS BLVD, WILLIAMSBURG, VA 23188-5709
(757) 564-7337
(757) 564-3205
Mailing address
119 BULIFANTS BLVD, WILLIAMSBURG, VA 23188-5747
(757) 564-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101234857
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010126037
VA PREMIERE HEALTH PLAN
—
05
—
010126037
—
VT
01
—
1110540
CIGNA
—
01
—
12-03098
UNITED HEALTHCARE
—
01
—
153982
ANTHEM
—
01
—
25362
SENTARA/OPTIMA
—
01
—
3416381
AETNA HMO
—
01
—
54-1778786
FIRST HEALTH/MAIL HANDLER
—
01
—
54-1778786-032
CHAMPUS/TRICARE
—
01
—
7667523
AETNA- TRADITIONAL
—
01
—
8128045
MAMSI/MDIPA
—
Enumeration date
05/24/2006
Last updated
02/26/2013
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