| Doctor Name: | DR. TERRY DOUGLAS POWELL |
| NPI Number: | 1245268416 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 04-14232 |
| Business Practice Address: | 1400 W 4th St Coffeyville, KS - 673373306 |
| Business Phone Number: | 6202521563 |
| Business Fax Number: | 6202521692 |
| Mailing Address: | Po Box 993, COFFEYVILLE |
| State: | KS |
| Postal Code: | 673370907 |
| Phone Number: | 6202521684 |
| Fax Number: | 6202521098 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0203X |
| License Number: | 04-14232 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Therapeutic Radiology |
| Taxonomy Definition: | |