MR. Keith Allen Powell, PA

NPI #1619037249 in Potsdam, New York

Provider Information

NPI Number: 1619037249
Entity Type: Individual
Name: MR. Keith Allen Powell, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 12, 2006
Last Updated: Apr 5, 2016

Practice Location

Address: 15 RAYMOND ST
Address 2: CANTON POTSDAM HOSPITAL
City: Potsdam
State: New York
ZIP Code: 13676-1163
Phone: (315) 261-3343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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