Potter, Kirk David
Potter, Kirk David is an individual health care provider with primary practice located at 3012 Broadway Ave , Hays KS 67601-1916. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Potter, Kirk David can be contacted via phone (785) 301-2250.Contact Information
Primary practice address
3012 Broadway Ave
Hays KS 67601-1916
Phone: (785) 301-2250
Fax: (785) 301-2270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 05-33528 | Kansas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 05-33528 | Kansas |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 05-33528 | Kansas |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 05-33528 | Kansas |
Profile Details
| NPI number | 1003920877 |
|---|---|
| LBN Legal business name | Potter, Kirk David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Nov 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003920877 | NPPES |
| Pennsylvania | Other | 34935 | HEALTH PARTNERS |
| Pennsylvania | Other | 1613811 | HEALTH PARTNERS |
| Pennsylvania | Other | 2290955000 | HEALTH PARTNERS |
| Pennsylvania | MEDICAID | 200582300I | HEALTH PARTNERS |
| Pennsylvania | Other | 1613811 | HEALTH PARTNERS |
| Pennsylvania | Other | P00189173 | HEALTH PARTNERS |
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