Individual
MICHAEL KEITH POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 HORTON CT, LEXINGTON, KY 40511-1075
(859) 276-0481
Mailing address
500 HORTON CT, LEXINGTON, KY 40511-1075
(859) 276-0481
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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