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NPI Code Detail

MEDICARE: MRS. KRISTEN LYN POWERS OTR

MEDICARE: MRS. KRISTEN LYN POWERS OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist17-01697KS

General Provider Information

NPI Number : 1023376605
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTEN LYN POWERS OTR
Provider Business Mailing Address
First Line : 7550 W VILLAGE CIR STE 1
Second Line :
City : WICHITA
State : KS
Zip : 67205-9364
Country : US
Telephone Number : 316-838-2020
Fax Number : 316-838-7574
Provider Business Practice Location Address
First Line : 7550 W VILLAGE CIR STE 1
Second Line :
City : WICHITA
State : KS
Zip : 67205-9364
Country : US
Telephone Number : 316-838-2020
Fax Number : 316-838-7574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2012
Last Update Date : 01/30/2020

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