NPI 1760450449
Jimmy Lee Powell
Practice location
- Address
- 1411 W 4th St, Coffeyville, KS 67337-3300
- Phone
- (620) 251-0050
- Fax
- (620) 251-0050
Registered specialties
Optician
Primary
Registry record
- NPI
- 1760450449
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Mar 2006
- Record last updated
- 25 Feb 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.