Individual
DARYL K. POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4612 OUTER LOOP, LOUISVILLE, KY 40219-3971
(502) 968-2233
(502) 968-2283
Mailing address
619 ASHBOURNE DR, SHELBYVILLE, KY 40065-7393
(502) 633-7649
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000332487
ANTHEM
KY
01
—
0620460003
PALMETTO - HARDIN CO
KY
01
—
0620460004
PALMETTO - JEFFERSON CO
KY
01
—
1054674
PASSPORT - GROUP
KY
01
—
1157245
PASSPORT DME
KY
01
—
1214621
CHA
KY
01
—
2026979
CIGNA
KY
01
—
27-00311
UHC
KY
01
—
5000492
PASSPORT - INDIVIDUAL
KY
01
—
7969602
AETNA
KY
05
—
80000466
—
KY
05
—
80903495
—
KY
05
—
80903735
—
KY
01
—
P00112387
UHC RAILROAD
KY
Enumeration date
06/09/2005
Last updated
07/09/2007
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