Potts, Kathryn Blake

Potts, Kathryn Blake is an individual health care provider with primary practice located at 6800 Lucy Corr Ct , Chesterfield VA 23832-6657. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Potts, Kathryn Blake can be contacted via phone (804) 748-1511.

Contact Information

Primary practice address
6800 Lucy Corr Ct Chesterfield VA 23832-6657
Phone: (804) 748-1511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22020087256 Virginia

Profile Details

NPI number 1467955294
LBN Legal business name Potts, Kathryn Blake
Credentials MS-SLP, CF
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2018
Last updated Mar 18th, 2018 - about 7 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 1467955294 NPPES
Virginia Other 22020087256 VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS

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