Powell, Kenneth Patrick

Powell, Kenneth Patrick is an individual health care provider with primary practice located at 3100 Samford Ave , Shreveport LA 71103-4239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Powell, Kenneth Patrick can be contacted via phone (318) 226-3306.

Contact Information

Primary practice address
3100 Samford Ave Shreveport LA 71103-4239
Phone: (318) 226-3306
Fax: (318) 226-3319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X T-1987 Mississippi
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD48720 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X P7970 Texas
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 23488 Mississippi
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 320573 Louisiana

Profile Details

NPI number 1285833129
LBN Legal business name Powell, Kenneth Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Mar 6th, 2020 - about 4 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 1285833129 NPPES
Mississippi MEDICAID 08129884

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