Powell, Kendra Deon

Powell, Kendra Deon is an individual health care provider with primary practice located at 1002 W Main St , Artesia NM 88210-1868. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Powell, Kendra Deon can be contacted via phone (575) 748-1225.

Contact Information

Primary practice address
1002 W Main St Artesia NM 88210-1868
Fax: (575) 746-6454
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0P2574 New Mexico

Profile Details

NPI number 1366525438
LBN Legal business name Powell, Kendra Deon
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Feb 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366525438 NPPES
New Mexico Other NM00PA38 BCBS

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