Individual
MONIKA RAE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
740 S LIMESTONE STE D201, LEXINGTON, KY 40536-9792
(859) 323-0079
(859) 323-8173
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2414
KY
363AM0700X
Medical Physician Assistant
PA2414
KY
363AS0400X
Surgical Physician Assistant
PA2414
KY
Other
Enumeration date
12/06/2018
Last updated
09/04/2024
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