Individual
KATHERINE E POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 629-5865
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
39010
KY
208000000X
Pediatrics Physician
39010
KY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
39010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200885690
—
IN
05
—
64115058
—
KY
Enumeration date
07/12/2006
Last updated
04/11/2024
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