Potts, Kevin Dane

Potts, Kevin Dane is an individual health care provider with primary practice located at 2021 N Macarthur Blvd Suite 255, Irving TX 75061-2219. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Potts, Kevin Dane can be contacted via phone (972) 253-4275.

Contact Information

Primary practice address
2021 N Macarthur Blvd Suite 255 Irving TX 75061-2219
Phone: (972) 253-4275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 51624 Texas

Profile Details

NPI number 1679735609
LBN Legal business name Potts, Kevin Dane
Credentials CCC A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Aug 11th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679735609 NPPES
Texas Other 51624 TEXAS LICENSE
Texas Other 01115630 TEXAS LICENSE

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