Kyle B. Potts, M.D., Inc.

LBN: Kyle B. Potts, M.D., Inc.
Kyle B. Potts, M.D., Inc. is an health care organization with primary practice located at 805 W Acequia Ave Suite 2-A, Visalia CA 93291-6162. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Kyle B. Potts, M.D., Inc. can be contacted via phone (559) 738-0450, or through Potts, Kyle B. via phone (559) 738-0450.

Contact Information

Primary practice address
805 W Acequia Ave Suite 2-A Visalia CA 93291-6162
Fax: (559) 738-0460
Website:
Authorized official contact:
Name: Potts, Kyle B. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X G64819 California

Profile Details

NPI number 1265651756
LBN Legal business name Kyle B. Potts, M.D., Inc.
DBA Doing business as
Authorized official Potts, Kyle B. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Mar 16th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265651756 NPPES
California MEDICAID 1265651756
California Other WG64819A

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