Provider Demographics
NPI:1487466736
Name:POWERS OF HEALTH PEDIATRICS, LLC
Entity type:Organization
Organization Name:POWERS OF HEALTH PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER, MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:248-921-5616
Mailing Address - Street 1:2007 BLUEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4364
Mailing Address - Country:US
Mailing Address - Phone:248-921-5616
Mailing Address - Fax:
Practice Address - Street 1:2007 BLUEBERRY LN
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-4364
Practice Address - Country:US
Practice Address - Phone:248-921-5616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty