Provider Demographics
NPI:1053327981
Name:POWERS, CATHEY L (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHEY
Middle Name:L
Last Name:POWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:C
Other - Middle Name:S
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11 MARCELLA DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-8907
Mailing Address - Country:US
Mailing Address - Phone:501-868-4939
Mailing Address - Fax:
Practice Address - Street 1:4300 W 7TH ST
Practice Address - Street 2:11HC/LITTLE ROCK
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5446
Practice Address - Country:US
Practice Address - Phone:501-257-5080
Practice Address - Fax:501-257-5079
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC5594207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine