Potts, Kyle B

Potts, Kyle B is an sole proprietor health care provider with primary practice located at 805 W Acequia Ave Suite 2-A, Visalia CA 93291-6162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Potts, Kyle B can be contacted via phone (559) 738-0450.

Contact Information

Primary practice address
805 W Acequia Ave Suite 2-A Visalia CA 93291-6162
Phone: (559) 738-0450
Fax: (559) 738-0460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G64819 California

Profile Details

NPI number 1811965221
LBN Legal business name Potts, Kyle B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2006
Last updated Mar 16th, 2011 - about 15 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 1811965221 NPPES
California MEDICAID 1265651756

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