| Kim B. Powers, D.o., P.a. | |
|
7800 66th St N Ste 105 Pinellas Park FL 33781-2101 | |
| (727) 541-0323 | |
| (727) 541-0336 |
| Full Name | Kim B. Powers, D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 7800 66th St N Ste 105, Pinellas Park, Florida |
| Authorized Official Name and Position | Kim Bartholomew Powers (OWNER) |
| Authorized Official Contact | 7275410323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim B. Powers, D.o., P.a. 7800 66th St N Ste 105 Pinellas Park FL 33781-2101 Ph: (727) 541-0323 | Kim B. Powers, D.o., P.a. 7800 66th St N Ste 105 Pinellas Park FL 33781-2101 Ph: (727) 541-0323 |
| NPI Number | 1780955997 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 01/19/2012 |
| Medicare PECOS PAC ID | 8426212341 |
|---|---|
| Medicare Enrollment ID | O20120605000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780955997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | OS6697 (Florida) | Primary |
| Provider Name | Kim B Powers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760504369 PECOS PAC ID: 6002070935 Enrollment ID: I20120606000317 |
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