Individual
KYLE B POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 W ACEQUIA AVE, SUITE 2-A, VISALIA, CA 93291-6162
(559) 738-0450
(559) 738-0460
Mailing address
805 W ACEQUIA AVE, SUITE 2-A, VISALIA, CA 93291-6162
(559) 738-0450
(559) 738-0460
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G64819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265651756
—
CA
Enumeration date
03/10/2006
Last updated
03/16/2011
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