Powell, Kay M

Powell, Kay M is an individual health care provider with primary practice located at 9 Airport Rd , Blackfoot ID 83221-1702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Powell, Kay M can be contacted via phone (208) 782-3979.

Contact Information

Primary practice address
9 Airport Rd Blackfoot ID 83221-1702
Phone: (208) 782-3979
Fax: (208) 782-3994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-343A Idaho

Profile Details

NPI number 1174581425
LBN Legal business name Powell, Kay M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Apr 17th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174581425 NPPES
Idaho Other NPYU4 BLUE CROSS
Idaho Other NPX02 BLUE CROSS
Idaho Other 270387 BLUE CROSS
Idaho Other 313074 BLUE CROSS
Idaho Other 000010153632 BLUE CROSS

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