Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEISHA POWELL, PHD, CAS, ABS, ATS
Active Sole ProprietorDR. KEISHA POWELL, PHD, CAS, ABS, ATS is a Specialist healthcare provider located in BROAD BROOK, Connecticut. NPI 1831519016 is currently active in the NPPES registry. Verify at CMS.
Specialist · BROAD BROOK, CT
Registration Details
- NPI Number
- 1831519016
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2014 (12.283443302775 yrs)
- Last Updated
- Oct 9, 2024
- Licenses
-
C072017000387 (CT)CAS176247 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3 JESSIE LNBROAD BROOK, CT, 060169596Browse CT providers · Browse ZIP 06016
- Phone
- 8609838112
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.