| William Calvin Powell, Md Psc | |
|
106 N Cross St Albany KY 42602-1416 | |
| (606) 387-6631 | |
| (606) 387-8121 |
| Full Name | William Calvin Powell, Md Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 106 N Cross St, Albany, Kentucky |
| Authorized Official Name and Position | William Calvin Powell (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6063876631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Calvin Powell, Md Psc 106 N Cross St Albany KY 42602-1416 Ph: (606) 387-6631 | William Calvin Powell, Md Psc 106 N Cross St Albany KY 42602-1416 Ph: (606) 387-6631 |
| NPI Number | 1306946579 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 06/30/2015 |
| Medicare PECOS PAC ID | 1153633359 |
|---|---|
| Medicare Enrollment ID | O20150630002962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306946579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ashley Dawn Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386064228 PECOS PAC ID: 8224356159 Enrollment ID: I20150406000874 |
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