Individual
DR. KIRK DAVID POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3012 BROADWAY AVE, HAYS, KS 67601-1916
(785) 301-2250
(785) 301-2270
Mailing address
3012 BROADWAY AVE, HAYS, KS 67601-1916
(785) 301-2250
(785) 301-2270
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
05-33528
KS
208600000X
Surgery Physician
05-33528
KS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
05-33528
KS
208D00000X
General Practice Physician
05-33528
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1613811
HIGHMARK BLUE SHIELD
PA
05
—
200582300I
—
KS
01
—
2290955000
KEYSTONE IBC
PA
01
—
34935
HEALTH PARTNERS
PA
01
—
P00189173
RAILROAD MEDICARE
PA
Enumeration date
08/18/2006
Last updated
11/28/2023
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