Healthcare Provider Details

I. General information

NPI: 1285557199
Provider Name (Legal Business Name): KAYLAN POWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 BAY FRONT DR
ANNAPOLIS MD
21403-3622
US

IV. Provider business mailing address

7101 BAY FRONT DR
ANNAPOLIS MD
21403-3622
US

V. Phone/Fax

Practice location:
  • Phone: 410-268-9222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberA6210
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: