Provider Demographics
NPI:1639981863
Name:POWERS-KILBURN, ANNETTE MARIE (RN)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:MARIE
Last Name:POWERS-KILBURN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:7805 N RANGELINE RD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45318-8859
Mailing Address - Country:US
Mailing Address - Phone:937-241-9297
Mailing Address - Fax:567-286-3372
Practice Address - Street 1:1621 CELINA RD
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-1215
Practice Address - Country:US
Practice Address - Phone:419-300-8771
Practice Address - Fax:419-300-8773
Is Sole Proprietor?:No
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN369862163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse