Individual
KELLY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2215 BRENT ANN DR, FLATWOODS, KY 41139-1422
(606) 831-3606
Mailing address
2215 BRENT ANN DR, FLATWOODS, KY 41139-1422
(606) 831-3606
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
200703699
KY
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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