IRA B POTTER PSC

Clinic/Center - Medical Specialty

Active Organization
NPI: 1962401455

Practice Address

77 MILLARD ALLEN DR.
Lackey, KY 41643

Phone: (606) 358-2381

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No PA1587 (KY)
Clinic/Center - Medical Specialty 261QM2500X Yes -

Frequently Asked Questions

NPI 1962401455 is the National Provider Identifier for IRA B POTTER PSC, a Clinic/Center - Medical Specialty provider located in Lackey, KY. This NPI was enumerated on July 18, 2005.

Quick Facts

NPI
1962401455
Type
Organization
Enumerated
Jul 18, 2005
Last Updated
Mar 21, 2016

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