Powell, Keith Allen

Powell, Keith Allen is an individual health care provider with primary practice located at 15 Raymond St Canton Potsdam Hospital, Potsdam NY 13676-1163. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Powell, Keith Allen can be contacted via phone (315) 261-3343.

Contact Information

Primary practice address
15 Raymond St Canton Potsdam Hospital Potsdam NY 13676-1163
Phone: (315) 261-3343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1619037249
LBN Legal business name Powell, Keith Allen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Apr 5th, 2016 - about 9 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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