Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRA B POTTER PSC
Active OrganizationIRA B POTTER PSC is a Medical Specialty Clinic organization located in LACKEY, Kentucky. NPI 1962401455 is currently active in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · LACKEY, KY
Registration Details
- NPI Number
- 1962401455
- Provider Type
- Organization
- NPI Issued
- Jul 18, 2005 (21.064810693092 yrs)
- Last Updated
- Mar 21, 2016
- License
-
PA1587 (KY)
Practice Information
- Address
-
77 MILLARD ALLEN DR.LACKEY, KY, 416430190Browse KY providers · Browse ZIP 41643
- Phone
- 6063582381
- Fax
- 6063582404
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
- Additional Specialty
- Medical Specialty Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.