Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRA BLAINE POTTER, MD
Active Sole ProprietorIRA BLAINE POTTER, MD is a Family Medicine healthcare provider located in LACKEY, Kentucky. NPI 1942208590 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LACKEY, KY
Registration Details
- NPI Number
- 1942208590
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2005 (21.105666799631 yrs)
- Last Updated
- Dec 9, 2011
- License
-
15918 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
77 MILLARD ALLEN DRLACKEY, KY, 416430190Browse KY providers · Browse ZIP 41643
- Phone
- 6063582381
- Fax
- 6063582404
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LACKEY, KY
| Name | Credential | NPI |
|---|---|---|
| DR. TERRY LEON WRIGHT | M.D. | 1275507477 |
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.