Provider Demographics
NPI:1134397714
Name:POWERS, ALEXANDER KENDRICK (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:KENDRICK
Last Name:POWERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:280 BROAD ST STE A
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-2948
Mailing Address - Country:US
Mailing Address - Phone:336-761-4020
Mailing Address - Fax:336-761-4051
Practice Address - Street 1:280 BROAD ST STE A
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-2948
Practice Address - Country:US
Practice Address - Phone:336-761-4020
Practice Address - Fax:336-761-4051
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC109627207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5913209Medicaid
NC5913209Medicaid
NC31129BMedicare UPIN