Individual
CASEY LYNN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 EAAT CHESTNUT STREET, LEVEL 5A, LOUISVILLE, KY 40202-1713
(502) 588-7450
Mailing address
68 MCDREAMY CT, RINEYVILLE, KY 40162-8761
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3014081
KY
Other
Enumeration date
01/08/2020
Last updated
10/27/2020
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