Powell, Kenneth Angus

Powell, Kenneth Angus is an individual health care provider with primary practice located at 2700 Riverside Ave Ste 2 , Jacksonville FL 32205-8233. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Powell, Kenneth Angus can be contacted via phone (904) 265-7755.

Contact Information

Primary practice address
2700 Riverside Ave Ste 2 Jacksonville FL 32205-8233
Phone: (904) 265-7755
Fax: (904) 265-7754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS10548 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X OS 10548 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X OS10548 Florida

Profile Details

NPI number 1992824007
LBN Legal business name Powell, Kenneth Angus
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 31st, 2022 - about 4 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 1992824007 NPPES
Florida MEDICAID 001324200

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