Healthcare Provider Details

I. General information

NPI: 1689249757
Provider Name (Legal Business Name): ALLISON POWELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2854 S 11TH ST
KALAMAZOO MI
49009-2129
US

IV. Provider business mailing address

2854 S 11TH ST
KALAMAZOO MI
49009-2129
US

V. Phone/Fax

Practice location:
  • Phone: 269-345-6197
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number57.251887
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301518254
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2025029014
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: