Powell, Kira Jeannette

Powell, Kira Jeannette is an individual health care provider with primary practice located at 20460 County Road 11 Nw , Big Lake MN 55309-4851. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Powell, Kira Jeannette can be contacted via phone (763) 263-7100.

Contact Information

Primary practice address
20460 County Road 11 Nw Big Lake MN 55309-4851
Fax: (763) 263-7114
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D14409 Minnesota

Profile Details

NPI number 1073121166
LBN Legal business name Powell, Kira Jeannette
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2020
Last updated Jul 15th, 2020 - about 5 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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