National Provider Identifier Database

TERRY D POWELL RADIATION ONCOLOGIST INC
Radiation Oncology

January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.


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
* Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for TERRY D POWELL RADIATION ONCOLOGIST, INC.

NPI Number 1093047185
Legal business name
LBN
TERRY D POWELL RADIATION ONCOLOGIST, INC.
Authorized official TERRY POWELL - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/01/2010
Last updated 02/01/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • KS License #: 04-14232
  • OK License #: 9106
  • KS Medicaid: 100196610B
  • OK Medicaid: 100200170B

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.

Reviews for TERRY D POWELL RADIATION ONCOLOGIST, INC.

There are currently no reviews for TERRY D POWELL RADIATION ONCOLOGIST, INC.


NPIdb - Home
v2.201