Dr. Kimberly Nichole Powell
MD | Pediatric Critical Care Medicine | Female
Dr. Kimberly Nichole Powell, MD is a Springfield, Illinois based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Kimberly Nichole Powell is
415 N 9th St, Suite 4w16, Springfield, Illinois - 62702-5303. She can be contacted on phone at
217-545-8000 and fax number 217-757-6654.
Dr. Kimberly Nichole Powell is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kimberly Nichole Powell is
1033375605 which was assigned by NPPES on 04 Aug, 2008 and it was last updated on 01 Aug, 2016.
Dr. Kimberly Nichole Powell license number is
036140805 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Illinois.
Dr. Kimberly Nichole Powell is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Kimberly Nichole Powell basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Kimberly Nichole Powell |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Kimberly Nichole Powell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 415 N 9th St, Suite 4w16
Springfield, IL, 62702-5303
United States |
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| Phone Number : | 217-545-8000 |
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| Fax Number : | 217-757-6654 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1033375605 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Aug, 2008 |
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| Last Updated On : | 01 Aug, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kimberly Nichole Powell are as mentioned. Primary taxonomy code for Dr. Kimberly Nichole Powell, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2011009284 | MO |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | 2011009284 | MO |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 036140805 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kimberly Nichole Powell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| $$$$$$$$$ | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 19635
Springfield, IL, 62794-9635
United States |
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| Phone Number : | 217-545-8000 |
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| Fax Number : | 217-757-6654 |
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Business Location:
Patients can refer following map for directions to
Dr. Kimberly Nichole Powell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.