Healthcare Provider Details

I. General information

NPI: 1396189098
Provider Name (Legal Business Name): KIMBERLY ANNE POWERS MA. LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TURWILL LN STE D
KALAMAZOO MI
49006-4277
US

IV. Provider business mailing address

200 TURWILL LN STE D
KALAMAZOO MI
49006-4277
US

V. Phone/Fax

Practice location:
  • Phone: 510-827-1305
  • Fax: 269-344-4459
Mailing address:
  • Phone: 510-827-1305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberL2152772
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: