| NPI | 1700011178 |
|---|---|
| Other Name | KIMBERLY MICHELLE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9117619) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 005568) |
| 363A00000X Physician Assistant (Licence: GA 005568) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2023-11-14 |