Individual
KENYETTA VEREEN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 W MAIN ST, MONCKS CORNER, SC 29461-2673
(843) 214-9315
Mailing address
109 W MAIN ST, MONCKS CORNER, SC 29461-2673
(843) 214-9315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
101943
AR
163WC1500X
Community Health Registered Nurse
Primary
101943
AR
Other
Enumeration date
06/10/2019
Last updated
03/14/2022
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