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Contact Information

TERRY D POWELL RADIATION ONCOLOGIST, INC.
1400 W 4TH ST,
RADIATION ONCOLOGY DEPT
COFFEYVILLE, KS67337
 Phone: 620-252-1684
 Fax: 620-252-1692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for TERRY D POWELL RADIATION ONCOLOGIST INC · (Female)

NPI Number 1093047185
Status Active
Credentials
Entity Individual
Enumeration date 02/01/2010
Last updated 02/01/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 04-14232
  • OK License # 9106
  • KS Medicaid 100196610B
  • OK Medicaid 100200170B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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