Individual
KEVIN LEE POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
(502) 584-0302
Mailing address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
(502) 584-0302
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
39984
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200928580
—
IN
01
—
3690600000
PASSPORT ATVANTAGE
KY
01
—
50022183
PASSPORT
KY
05
—
64121932
—
KY
Enumeration date
08/31/2006
Last updated
08/24/2012
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