Potts, Kevin

Potts, Kevin is an individual health care provider with primary practice located at 27472 Schoenherr Rd Ste 100 , Warren MI 48088-6675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Potts, Kevin can be contacted via phone (586) 751-8844.

Contact Information

Primary practice address
27472 Schoenherr Rd Ste 100 Warren MI 48088-6675
Fax: (586) 751-8596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301073376 Michigan

Profile Details

NPI number 1750366605
LBN Legal business name Potts, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jan 5th, 2023 - about 2 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 1750366605 NPPES
Michigan MEDICAID 4910891

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