DR. Kimberly Nicole Powell, D.D.S. is a student in an organized health care education training program in Jackson, MS. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Kimberly Nicole Powell, D.D.S. NPI is 1003171182. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-6028
The NPI 1003171182 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 7/5/2012 and was last updated on 7/5/2012.