Individual
KENNETH R POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 S ROCHELLE AVE, SPRINGFIELD, MO 65804-7811
(417) 887-6294
Mailing address
5050 S. ROCHELLE AVE, SPRINGFIELD, MO 65804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R5G68
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107083
BLUE CROSS/BLUE SHIELD
—
05
—
202366001
—
MO
Enumeration date
06/14/2006
Last updated
06/26/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us