Provider Demographics
NPI:1215206966
Name:POWERS, KANDY ROSE (NP)
Entity Type:Individual
Prefix:MRS
First Name:KANDY
Middle Name:ROSE
Last Name:POWERS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2330 SHAWNEE MISSION PKWY STE 1102
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2005
Mailing Address - Country:US
Mailing Address - Phone:913-588-3657
Mailing Address - Fax:913-588-3648
Practice Address - Street 1:2330 SHAWNEE MISSION PKWY STE 1102
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:KS
Practice Address - Zip Code:66205-2005
Practice Address - Country:US
Practice Address - Phone:913-588-3657
Practice Address - Fax:913-588-3648
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS75378363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care