Individual
KATHERINE C. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-7700
(321) 841-7799
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-7700
(321) 841-7799
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291035700
—
FL
Enumeration date
07/08/2005
Last updated
03/30/2015
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