Powell, Icis Breann

Powell, Icis Breann is an sole proprietor health care provider with primary practice located at 635 S Main St Ste B , Leitchfield KY 42754-1056. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Powell, Icis Breann can be contacted via phone (270) 287-0656.

Contact Information

Primary practice address
635 S Main St Ste B Leitchfield KY 42754-1056
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Kentucky

Profile Details

NPI number 1427549922
LBN Legal business name Powell, Icis Breann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2018
Last updated May 21st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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