| Doctor Name: | KIMBERLY D. POWELL |
| NPI Number: | 1063755510 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 38 |
| Business Practice Address: | 35105 Kenai Spur Hwy Ste A Soldotna, AK - 996697658 |
| Business Phone Number: | 9072607444 |
| Business Fax Number: | |
| Mailing Address: | 48584 Debra Cir, KENAI |
| State: | AK |
| Postal Code: | 996119436 |
| Phone Number: | 9072607444 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2013 |
| NPI Last Update Date: | 04/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 38 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |