Mr. Kenneth James Powell III
Mr. Kenneth James Powell III is a Nurse Practitioner in Stratford, New Jersey. Graduated from Pennsylvania State University College of Medicine in 2021, 5 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.
- Years since qualifying
- 5
- Trained at
- Pennsylvania State University College of Medicine
- Licensed in
- NJ, PA
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
18 E Laurel RdStratford, NJ 08084-1327
Phone: (856) 346-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 26NJ01288700 (NJ) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 26NR21318400 (NJ) |
| Registered Nurse | Taxonomy 163W00000X · Licence RN636091 (PA) |
Record details
| NPI number | 1902558364 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2022 |
| Last updated in NPPES | April 1, 2022 |
| Certification date | April 1, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 2021 (5 years in practice) |
| Group practice | Jefferson University Physicians — 1554 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Stratford
-
Sandra Lee Petronis, RN
1 Colby Ave, Stratford, NJ 08084-1000 · (856) 541-1700
-
Ellen T Van Fossen, RN, APN
42 Laurel Rd E Udp #1800, Stratford, NJ 08084-1354 · (856) 566-6843
-
Jana Wardlow, RNFA
18 E Laurel Rd, Stratford, NJ 08084-1327 · (856) 346-6000