| NPI | 1770809808 |
|---|---|
| Doing Business As | POWELL FAMILY HEALTH |
| Entity Type | Organization |
| Authorized Contact | TERRANCE DILLON Assistant Secretary 502-596-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2022-04-26 |