Individual provider · Type 1 NPI

Kimberly Louise Powell, PA-C

Surgical Physician Assistant · Detroit, MI

NPI number 1023336583 Active

Practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Call (313) 966-6870 Map

Mailing address

1382 Bishop Rd
Grosse Pointe Park, MI 48230-1146

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601005713 (MI)
Physician Assistant 363A00000X50.003040 (OH)
Physician Assistant 363A00000X25MP00236100 (NJ)
Physician Assistant 363A00000X004207 (CT)
Medical Physician Assistant 363AM0700X004207 (CT)
Surgical Physician Assistant Primary 363AS0400X004207 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1023336583

Kimberly Louise Powell, PA-C's National Provider Identifier is 1023336583, issued on May 8, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Detroit, MI. The record was last updated on Jan 17, 2022.