| Doctor Name: | KAY M POWELL |
| NPI Number: | 1174581425 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NP-343A |
| Business Practice Address: | 9 Airport Rd Blackfoot, ID - 832211702 |
| Business Phone Number: | 2087823979 |
| Business Fax Number: | 2087823994 |
| Mailing Address: | 98 Poplar St, BLACKFOOT |
| State: | ID |
| Postal Code: | 832211758 |
| Phone Number: | 2087823700 |
| Fax Number: | 2087823994 |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 04/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-343A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |