MR. Jimmy Lee Powell
NPI #1760450449 in Coffeyville, Kansas
Provider Information
- NPI Number
- 1760450449
- Entity Type
- Individual
- Name
- MR. Jimmy Lee Powell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Mar 9, 2006
- Last Updated
- Feb 25, 2015
Practice Location
- Address
- 1411 W 4TH ST
- City
- Coffeyville
- State
- Kansas
- ZIP Code
- 67337-3300
- Phone
- (620) 251-0050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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| Provider Name | |
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| Cynthia Marie Dale | |
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| Ginger Morrell | |
| Montano Ysidro, OPTICIAN |
Organizations
| Provider Name | |
|---|---|
| Coffeyville Optic Shop LLC |
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