# KAYSVILLE FAMILY MEDICINE PC

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

## Provider details

- **NPI number:** 1912073966
- **Authorized official:** DR. STEVEN JARED POTTER MD (PRESIDENT)
- **Authorized official phone:** (801) 543-2221

## Contact information

- **Practice address:** 307 N 300 W, STE 301, KAYSVILLE, UT 84037-1852
- **Practice address phone:** (801) 543-2221
- **Practice address fax:** (801) 543-2249
- **Mailing address:** 307 N 300 W, STE 301, KAYSVILLE, UT 84037-1852
- **Mailing address phone:** (801) 543-2221
- **Mailing address fax:** (801) 543-2249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 57481181205 | UT | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020