Individual
DR. KENNETH POWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5503 DELMAR BLVD STE B, SAINT LOUIS, MO 63112-3122
(901) 596-6957
(314) 200-0313
Mailing address
5503 DELMAR BLVD STE B, SAINT LOUIS, MO 63112-3122
(901) 596-6957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020034346
MO
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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