KIMBERLY L POWELL, PA-C, Surgical DETROIT, MI

Contact Information

KIMBERLY L POWELL, PA-C

6071 W OUTER DR
DETROIT, MI 48235-2624

Phone: 313-966-6870
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgical	363AS0400X	97	Physician Assistant
Medical	363AM0700X	97	Physician Assistant
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for KIMBERLY L POWELL · (Female)

NPI #	`1023336583`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	05/08/2010
Last updated	01/17/2022 - About 4 years ago
Sole proprietor ¹	No
Identifiers	CT License # 004207 MI License # 5601005713 NJ License # 25MP00236100 OH License # 50.003040
Hospital affiliation(s)	BEAUMONT HOSPITAL GROSSE POINTE - (Acute Care) 468 CADIEUX RD GROSSE POINTE, MI 48230 SINAI-GRACE HOSPITAL - (Acute Care) 6071 W OUTER DRIVE DETROIT, MI 48235

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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KIMBERLY L POWELL, PA-C – NPI #1023336583Surgical

Contact Information

Specialty

Surgical

Medical

Physician Assistant

NPI Profile & details for KIMBERLY L POWELL · (Female)

Reviews for KIMBERLY L POWELL

KIMBERLY L POWELL, PA-C – NPI #1023336583
Surgical