Powell, Kenton Eugene

Powell, Kenton Eugene is an individual health care provider with primary practice located at 204 Dartmouth College Hwy , Lyme NH 03768-3205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Powell, Kenton Eugene can be contacted via phone (603) 650-1070.

Contact Information

Primary practice address
204 Dartmouth College Hwy Lyme NH 03768-3205
Phone: (603) 650-1070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14566 New Hampshire
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042-0012689 Vermont

Profile Details

NPI number 1790808517
LBN Legal business name Powell, Kenton Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2007
Last updated Jun 21st, 2013 - about 11 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 1790808517 NPPES
New Hampshire MEDICAID 30209653
New Hampshire MEDICAID 3077484
New Hampshire MEDICAID 1017771

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