Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kimberly Louise Powell, PA-C

Individual provider Physician Assistant · NPI 1023336583

Mrs. Kimberly Louise Powell, PA-C is a Physician Assistant in Detroit, Michigan. Qualified in 2009, 17 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group and accepts Medicare assignment. Licensed in Connecticut, Michigan, New Jersey and Ohio.

Years since qualifying
17
Licensed in
CT, MI, NJ, OH
In the registry since
2010
Specialties on file
6
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6071 W Outer Dr
Detroit, MI 48235-2624
Phone: (313) 966-6870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 004207 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 5601005713 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 50.003040 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00236100 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 004207 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 004207 (CT)

Record details

NPI number1023336583
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 8, 2010
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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