Provider Information for 1740511849
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KENNETH OVED POWERS Jr. MSW, LICSW
Sex: Male
NPI: 1740511849
Last Updated: 2012-07-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1740511849 | ||||||||||||||||
| Enumeration Date | 2010-01-29 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | PO BOX 97 BAKER, WV 26801-0097 United States Phone: 304-897-5915 | Fax:304-897-6216 | ||||||||||||||||
| Primary Practice Address | 17978 SR 55 BAKER, WV 26801 United States Phone: 304-897-5915 | Fax:304-897-6216 | ||||||||||||||||
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