Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH K POTTS, C.R.N.A.
ActiveKENNETH K POTTS, C.R.N.A. is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MENDOTA, Illinois. NPI 1316960404 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · MENDOTA, IL
Registration Details
- NPI Number
- 1316960404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (19.909935953482 yrs)
- Last Updated
- Dec 30, 2011
- License
-
041136641 (IL)
Practice Information
- Address
-
1401 EAST 12TH STREETMENDOTA, IL, 613429216Browse IL providers · Browse ZIP 61342
- Phone
- 8155397461
- Fax
- 8155391461
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in MENDOTA, IL
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD JOSPEH BAKER | — | 1376879122 |
| MRS. KATHERINE ROSE FORD | CRNA | 1073869475 |
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.