1962401455 IRA B POTTER PSC
Medical Specialty Clinic/Center
Active
Basic Information
- Organization Name
- IRA B POTTER PSC
- Enumeration Date
- July 18, 2005
- Last Update
- March 21, 2016
- Authorized Official
- IRA BLAINE POTTER MD
PRESIDENT
Phone: (606) 358-2381
Practice Location
- Address
- 77 MILLARD ALLEN DR.
LACKEY, KY 416430190 - Phone
- (606) 358-2381
- Fax
- (606) 358-2404
Mailing Address
- Address
- PO BOX 190
77 MILLARD ALLEN DRIVE
LACKEY, KY 416430190 - Phone
- (606) 358-2381
- Fax
- (606) 358-2404
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Physician Assistant | 363A00000X | Physician Assistant | PA1587 | KY | No |
| Medical Specialty Clinic/Center Medical Specialty | 261QM2500X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000057539 | 01 | KY | ANTHEM |
| 65901399 | 05 | KY | N/A |
Frequently Asked Questions
What is IRA B POTTER PSC's NPI number?
IRA B POTTER PSC's NPI number is 1962401455.
Which doctor has NPI number 1962401455?
The doctor with NPI number 1962401455 is IRA B POTTER PSC.
What is IRA B POTTER PSC's practice address?
IRA B POTTER PSC's practice address is 77 MILLARD ALLEN DR., LACKEY, KY, 416430190.
Which doctor practices at 77 MILLARD ALLEN DR., LACKEY, KY, 416430190?
IRA B POTTER PSC practices at 77 MILLARD ALLEN DR., LACKEY, KY, 416430190.
What is IRA B POTTER PSC's mailing address?
IRA B POTTER PSC's mailing address is PO BOX 190, 77 MILLARD ALLEN DRIVE, LACKEY, KY, 416430190.
What is IRA B POTTER PSC's phone number?
IRA B POTTER PSC's phone number is (606) 358-2381.
Who is (606) 358-2381?
(606) 358-2381 is the phone number for IRA B POTTER PSC.
What is IRA B POTTER PSC's specialty?
IRA B POTTER PSC's specialty is Medical Specialty Clinic/Center.
What type of doctor is IRA B POTTER PSC?
IRA B POTTER PSC is a Medical Specialty Clinic/Center.
Is IRA B POTTER PSC a Medical Specialty?
Yes, IRA B POTTER PSC is a Medical Specialty.
Is IRA B POTTER PSC still practicing?
Yes, IRA B POTTER PSC is currently practicing.
Is IRA B POTTER PSC accepting new patients?
IRA B POTTER PSC may be accepting new patients. Please call their office at (606) 358-2381 to inquire about availability.
Is NPI 1962401455 still active?
Yes, NPI 1962401455 is currently active.
Where does IRA B POTTER PSC practice?
IRA B POTTER PSC practices in LACKEY, KY.