Healthcare Provider Details

I. General information

NPI: 1417869918
Provider Name (Legal Business Name): KATELYNE MAY POWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

876 BREVARD RD STE A
ASHEVILLE NC
28806-2206
US

IV. Provider business mailing address

9 WHISPERWOOD WAY APT 108
CANDLER NC
28715-1490
US

V. Phone/Fax

Practice location:
  • Phone: 704-799-6824
  • Fax:
Mailing address:
  • Phone: 856-628-2583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: