Organization
POTTER PLASTIC & RECONSTRUCTIVE SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK DAVID POTTER DO (PRESIDENT)
(785) 639-1668
Entity
Organization
Contact information
Practice address
217 E 32ND ST, HAYS, KS 67601-1698
(785) 301-2250
(785) 301-2270
Mailing address
217 E 32ND ST, HAYS, KS 67601-1698
(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
Enumeration date
04/28/2015
Last updated
06/12/2022
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