KENNETH PATRICK POWELL MD
NPI 1285833129
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Shreveport, LA

Q: What is Kenneth Powell's NPI number?

The NPI number for Kenneth Powell is 1285833129. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Q: What is Kenneth Powell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Powell was last updated on March 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 11, 2007PECOS Enrolled

3100 SAMFORD AVE, SHREVEPORT, LA 71103(318) 226-3306(318) 226-3319 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kenneth Patrick Powell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH PATRICK POWELL MD (NPI 1285833129) is an individual pediatric orthopaedic surgery provider in Shreveport, Louisiana, licensed in Louisiana (320573) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285833129

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameKENNETH PATRICK POWELLCredential: MD

Location Address3100 SAMFORD AVEShreveport, LA 71103-4239

Mailing Address3100 Samford AveShreveport, LA 71103-4239 · (318) 226-3306 · Fax (318) 226-3319

Phone(318) 226-3306

Fax(318) 226-3319

Sole ProprietorNo

Enumeration DateJuly 11, 2007

Last NPPES UpdateMarch 6, 2020

NPPES CertifiedMarch 6, 2020

✔ NPI 1285833129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

Licenses✔ Licensed in LA · 320573✔ Licensed in TX · P7970✔ Licensed in MS · 23488

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License T-1987 (MS), MD48720 (TN)

3100 SAMFORD AVE, Shreveport, LA 71103

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Other Identifiers 1

Medicaid08129884MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Patrick Powell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN GIBBS JENKINS LOTR

Occupational Therapist (Pediatrics)