Powell, Kimberly Nichole

Powell, Kimberly Nichole is an individual health care provider with primary practice located at 415 N 9Th St Suite 4W16, Springfield IL 62702-5303. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Powell, Kimberly Nichole can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
415 N 9Th St Suite 4W16 Springfield IL 62702-5303
Phone: (217) 545-8000
Fax: (217) 757-6654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2011009284 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2011009284 Missouri
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 036140805 Illinois

Profile Details

NPI number 1033375605
LBN Legal business name Powell, Kimberly Nichole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Aug 1st, 2016 - about 8 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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