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Individual
DR. JORDAN POTTER
Active
Individual
DR. JORDAN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61330
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2022
Last updated
05/11/2026
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