Potts, Kent H

Potts, Kent H is an sole proprietor health care provider with primary practice located at 2307 Gordon Cooper Dr , Shawnee OK 74801-9007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Potts, Kent H can be contacted via phone (405) 878-4693.

Contact Information

Primary practice address
2307 Gordon Cooper Dr Shawnee OK 74801-9007
Phone: (405) 878-4693
Fax: (405) 878-4690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 8526 Oklahoma

Profile Details

NPI number 1598752503
LBN Legal business name Potts, Kent H
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Jul 7th, 2008 - about 17 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 1598752503 NPPES
Oklahoma Other 060051779 RAILROAD MEDICARE
Oklahoma MEDICAID 100104450A RAILROAD MEDICARE

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