MEDICARE: MS. KAREN L POWELL MS, CGC

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
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1669461893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN L POWELL MS, CGC

Provider Business Mailing Address
First Line	:	501 N ELAM AVE
Second Line	:	CONE CANCER CENTER
City	:	GREENSBORO
State	:	NC
Zip	:	27403-1118
Country	:	US
Telephone Number	:	336-832-0861
Fax Number	:	336-832-0862

Provider Business Practice Location Address
First Line	:	501 N ELAM AVE
Second Line	:	CONE CANCER CENTER
City	:	GREENSBORO
State	:	NC
Zip	:	27403-1118
Country	:	US
Telephone Number	:	336-832-0861
Fax Number	:	336-832-0862

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	05/14/2013

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