TERRY D POWELL RADIATION ONCOLOGIST, INC.; NPI #1093047185

Contact Information

TERRY D POWELL RADIATION ONCOLOGIST, INC.

1400 W 4TH ST,
RADIATION ONCOLOGY DEPT
COFFEYVILLE, KS 67337

Phone: 620-252-1684
Fax: 620-252-1692
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0203X

Indicates primary specialty

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

NPI Number 1093047185

LBN Legal business name TERRY D POWELL RADIATION ONCOLOGIST, INC.

Authorized official TERRY POWELL - (PRESIDENT/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/01/2010

Last updated 02/01/2010 - About 16 years ago

Identifiers

KS	License #	04-14232
OK	License #	9106
KS	Medicaid	100196610B
OK	Medicaid	100200170B

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TERRY D POWELL RADIATION ONCOLOGIST, INC.

Contact Information

Specialty

Radiation Oncology

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

Reviews for TERRY D POWELL RADIATION ONCOLOGIST, INC.