Individual
ASHTIN MARIE HEATH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1105 N BUCKNER ST, DERBY, KS 67037-2719
(316) 788-9290
Mailing address
1105 N BUCKNER ST # B, DERBY, KS 67037-2719
(316) 788-9290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2251
KS
Other
Enumeration date
07/14/2025
Last updated
08/22/2025
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