Individual
WILLIAM POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 OLD SYMSONIA RD, BENTON, KY 42025-5094
(270) 527-2411
(270) 527-8734
Mailing address
PO BOX 526, BENTON, KY 42025-0526
(270) 527-2411
(270) 527-8734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34554
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2705272411
OFFICE PHONE
—
01
—
34554
KY STATE LIC
KY
05
—
4047220
—
TN
05
—
64345648
—
KY
Enumeration date
08/12/2006
Last updated
02/11/2020
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