Powell, Kammy Jane
Powell, Kammy Jane is an individual health care provider with primary practice located at 1200 N Stadium Dr Yordon Center Northern Illinois University Sports Medic, Dekalb IL 60115-6079. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Powell, Kammy Jane can be contacted via phone (815) 762-7240.Contact Information
Primary practice address
1200 N Stadium Dr Yordon Center Northern Illinois University Sports Medic
Dekalb IL 60115-6079
Phone: (815) 762-7240
Fax: (815) 753-2415
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096.002046 | Illinois |
Profile Details
NPI number | 1871731604 |
---|---|
LBN Legal business name | Powell, Kammy Jane |
Credentials | M.S., ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2009 |
Last updated | Sep 28th, 2009 - about 15 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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