Provider Demographics
NPI:1437358652
Name:NANCY G. POWERS, MD, LLC
Entity Type:Organization
Organization Name:NANCY G. POWERS, MD, LLC
Other - Org Name:BREASTFEEDING MEDICINE OF KANSAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:G
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-304-2653
Mailing Address - Street 1:509 N LORRAINE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-4836
Mailing Address - Country:US
Mailing Address - Phone:316-304-2653
Mailing Address - Fax:316-260-9127
Practice Address - Street 1:509 N LORRAINE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4836
Practice Address - Country:US
Practice Address - Phone:316-304-2653
Practice Address - Fax:316-260-9127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3822319261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center