Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 49936 | TN |
N | 2080P0203X | Pediatric Critical Care Doctor | 131589 | OH |
Y | 2080P0203X | Pediatric Critical Care Doctor | 50452 | KY |
NPI | 1093031270 |
---|---|
Provider Name | Erin R Powell |
First Address | Lexington, KY 40536-0001 |
Second Address | Lexington, KY 40536-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 03/07/2017 |