Individual
KEVIN J POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1791 W 3RD ST, BLOOMINGTON, IN 47404-5029
(812) 333-4422
(812) 333-6698
Mailing address
PO BOX 1981, BLOOMINGTON, IN 47402-1981
(812) 333-4422
(812) 333-6698
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
07000616
IN
213E00000X
Podiatrist
Primary
07000615A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194880A
—
IN
Enumeration date
07/07/2005
Last updated
09/14/2023
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