| NPI | 1689317208 |
|---|---|
| Former Legal Business Name | JACQUELINE POWELL MD PC |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE POWELL President 502-619-2464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-01-17 |