# KYLE B. POTTS, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265651756
- **Authorized official:** DR. KYLE B. POTTS M.D. (OWNER)
- **Authorized official phone:** (559) 738-0450

## Contact information

- **Practice address:** 805 W ACEQUIA AVE, SUITE 2-A, VISALIA, CA 93291-6162
- **Practice address phone:** (559) 738-0450
- **Practice address fax:** (559) 738-0460
- **Mailing address:** 805 W ACEQUIA AVE, SUITE 2-A, VISALIA, CA 93291-6162
- **Mailing address phone:** (559) 738-0450
- **Mailing address fax:** (559) 738-0460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G64819 | CA | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 03/16/2011