Potts, Kathleen M
Potts, Kathleen M is an individual health care provider with primary practice located at 12303 Depaul Drive , Bridgeton MO 63044. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Potts, Kathleen M can be contacted via phone (314) 344-6000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 051628 | Missouri |
Profile Details
| NPI number | 1518912708 |
|---|---|
| LBN Legal business name | Potts, Kathleen M |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Oct 9th, 2017 - about 9 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 | 1518912708 | NPPES |
| Missouri | MEDICAID | 423901107 |
Popular Providers
-
Wolf, Francine
1047 Old York Rd , Abington PA 19001-4617 -
Berdugo, Teri Ann
5458 Town Center Rd Suite 101, Boca Raton FL 33486-1089 -
Koenegstein, Martha J
12303 Depaul Drive , Bridgeton MO 63044 -
Mcalister, Amy Elizabeth
12255 Depaul Drive Suite 370, Bridgeton MO 63044 -
Stroud, Faith
12303 Depaul Drive , Bridgeton MO 63044 -
Fliesher, Susan H
12303 Depaul Drive , Bridgeton MO 63044 -
Opdyke, Corie
9120A Wiles Rd , Coral Springs FL 33067-1993 -
Kortz, Gabriella R
379 N Congress Ave , Boynton Beach FL 33426-3415