Individual
DR. PERRY STEPHEN POTEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 N GRAND AVE, STE.101, FORT THOMAS, KY 41075-4107
(937) 475-3327
Mailing address
40 N GRAND AVE, STE 103, FORT THOMAS, KY 41075-1765
(859) 781-4900
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01077903A
IN
207Y00000X
Otolaryngology Physician
Primary
TP531
KY
390200000X
Student in an Organized Health Care Education/Training Program
390200000
AR
Other
Enumeration date
04/16/2012
Last updated
10/01/2018
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