Healthcare Provider Details

I. General information

NPI: 1154238442
Provider Name (Legal Business Name): MS. MONICA POWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 SOUTHWIND DR
JUNCTION CITY KS
66441-9041
US

IV. Provider business mailing address

623 SOUTHWIND DR
JUNCTION CITY KS
66441-9041
US

V. Phone/Fax

Practice location:
  • Phone: 785-350-3111
  • Fax: 785-350-4816
Mailing address:
  • Phone: 785-350-3111
  • Fax: 785-350-4816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: