Healthcare Provider Details

I. General information

NPI: 1811189715
Provider Name (Legal Business Name): JAMES S POWELL, MD PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 12/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 23RD ST STE 15
ASHLAND KY
41101-2845
US

IV. Provider business mailing address

617 23RD ST STE 15
ASHLAND KY
41101-2845
US

V. Phone/Fax

Practice location:
  • Phone: 606-324-7737
  • Fax: 606-324-7408
Mailing address:
  • Phone: 606-324-7737
  • Fax: 606-324-7408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number25181
License Number StateKY

VIII. Authorized Official

Name: DR. JAMES SCOTT POWELL
Title or Position: OWNER/PHYSCIAN
Credential: MD
Phone: 606-324-7737