Individual
KAELA POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 E PERKINS AVE, GUTHRIE, OK 73044-5804
(405) 282-8232
Mailing address
704 NW 46TH ST, OKLAHOMA CITY, OK 73118-6612
(918) 470-3774
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
307679
OK
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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