Powell, Tracy A

Powell, Tracy A is an sole proprietor health care provider with primary practice located at 1200 Barrett Blvd , Henderson KY 42420. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Powell, Tracy A can be contacted via phone (270) 844-8600.

Contact Information

Primary practice address
1200 Barrett Blvd Henderson KY 42420
Phone: (270) 844-8600
Fax: (270) 844-8610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 3010640 Kentucky
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 71005716A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005716A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3010640 Kentucky

Profile Details

NPI number 1417335738
LBN Legal business name Powell, Tracy A
Credentials APRN, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2015
Last updated Dec 6th, 2018 - about 6 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 1417335738 NPPES
Indiana MEDICAID 201325570
Indiana MEDICAID 7100440050

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