Search › Wisconsin › 311ZA0620X
Tiffany Powell
NPI 1992495618 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4047 32nd Ave
Kenosha, WI 53144 - Phone
- (262) 914-2216
- Organisation at this address
- Powell Enterprises Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin