Individual provider · NPI-1
Kathleen Mary Powell, Nationally Certified
Contractor · Ann Arbor, MI
NPI number1184775256
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184775256
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kathleen Mary Powell
- Credential
- Nationally Certified
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
249 S Wagner RdAnn Arbor, MI 48103-1939
Phone 734-669-2975
Mailing address
249 S Wagner RdAnn Arbor, MI 48103-1939
Phone 734-669-2975
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