Provider Demographics
NPI:1609913979
Name:POWERS, KINGA A (MD)
Entity Type:Individual
Prefix:DR
First Name:KINGA
Middle Name:A
Last Name:POWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1559
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0989
Mailing Address - Country:US
Mailing Address - Phone:631-638-0055
Mailing Address - Fax:631-638-0050
Practice Address - Street 1:SBUMC
Practice Address - Street 2:HSC LEVEL 19, RM.053
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-0989
Practice Address - Country:US
Practice Address - Phone:631-638-0055
Practice Address - Fax:631-638-0050
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA227578208600000X
VA0101250126208600000X
NY302932208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery