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Individual

SARAH MICHELLE POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4309 E 50TH TER STE 200, KANSAS CITY, MO 64130-8500
(816) 561-8784
(816) 442-8395
Mailing address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 753-5144
(816) 753-0804

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001004094
NC
363A00000X
Physician Assistant
Primary
2016027984
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200034110
MO
Enumeration date
03/13/2013
Last updated
03/31/2025
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