Provider Demographics
NPI:1306946579
Name:WILLIAM CALVIN POWELL, MD PSC
Entity type:Organization
Organization Name:WILLIAM CALVIN POWELL, MD PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-387-6631
Mailing Address - Street 1:106 N CROSS ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:KY
Mailing Address - Zip Code:42602-1416
Mailing Address - Country:US
Mailing Address - Phone:606-387-6631
Mailing Address - Fax:606-387-8121
Practice Address - Street 1:106 N CROSS ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:KY
Practice Address - Zip Code:42602-1416
Practice Address - Country:US
Practice Address - Phone:606-387-6631
Practice Address - Fax:606-387-8121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty