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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KENNETH LOGDONIO POTESTAS, PT

Active Sole Proprietor

MISS KENNETH LOGDONIO POTESTAS, PT is a Health Maintenance Organization healthcare provider located in DELRAY BEACH, Florida. NPI 1194170555 is currently active in the NPPES registry. Verify at CMS.

Health Maintenance Organization · DELRAY BEACH, FL

Registration Details

NPI Number
1194170555
Provider Type
Individual
Gender
Female
NPI Issued
May 4, 2016 (10.313998880159 yrs)
Last Updated
May 4, 2016
License
070022093 (IL)
Sole Proprietor
Yes

Practice Information

Address
16089 POPPYSEED CIR UNIT 2008
DELRAY BEACH, FL, 334846314
Browse FL providers · Browse ZIP 33484
Phone
5617130812
Primary Specialty
Health Maintenance Organization
302R00000X

Other Health Maintenance Organization Providers in DELRAY BEACH, FL

Name Credential NPI
EBONY COLEMAN 1669293486
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.