Potts, Kevin Dane
Potts, Kevin Dane is an individual health care provider with primary practice located at 2021 N Macarthur Blvd Suite 255, Irving TX 75061-2219. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Potts, Kevin Dane can be contacted via phone (972) 253-4275.Contact Information
Primary practice address
2021 N Macarthur Blvd Suite 255
Irving TX 75061-2219
Phone: (972) 253-4275
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 51624 | Texas |
Profile Details
NPI number | 1679735609 |
---|---|
LBN Legal business name | Potts, Kevin Dane |
Credentials | CCC A |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2008 |
Last updated | Aug 11th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679735609 | NPPES |
Texas | Other | 51624 | TEXAS LICENSE |
Texas | Other | 01115630 | TEXAS LICENSE |
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