Provider Demographics
NPI:1972120277
Name:POWERS, KATHLEEN MCGRIFF
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:MCGRIFF
Last Name:POWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 ANDERSON PL
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1716
Mailing Address - Country:US
Mailing Address - Phone:716-200-6414
Mailing Address - Fax:
Practice Address - Street 1:110 ANDERSON PL
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-1716
Practice Address - Country:US
Practice Address - Phone:716-200-6414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula