Kent H Potts in Shawnee - Cardiovascular Disease

Kent H Potts - NPI 1598752503

Kent H Potts is a Cardiovascular Disease in Shawnee, Oklahoma. Kent H Potts practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Kent H Potts is 1598752503. The last update date is 2008-07-07.

Kent H Potts's current location address is 2307 Gordon Cooper Dr, Shawnee, Oklahoma. You can contact this provider via phone number 4058784693 and fax number 4058784690. The mailing address for Kent H Potts is 2307 Gordon Cooper Dr, Shawnee, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Kent H Potts
Address 2307 Gordon Cooper Dr, Shawnee, Oklahoma
Phone Number 4058784693
Fax Number 4058784690
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1598752503
Provider Enumeration Date 2005-10-04
Last Updated Date 2008-07-07

Provider Mailing Address Detail

Address 2307 Gordon Cooper Dr
City Shawnee
State Oklahoma (OK)
Post Code 748019007
Phone Number 4058784693
Fax Number 4058784690

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 8526
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60051779 OK RAILROAD MEDICARE
100104450A OK --

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FAQs about Kent H Potts

What is the unique 10-digit identifier code issued to Kent H Potts by the Centers for Medicare & Medicaid Services?

The Kent H Potts has been assigned the NPI (National Provider Identifier) 1598752503 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kent H Potts's facilities are situated?

The facilities of Kent H Potts are physically located at the following address: 2307 Gordon Cooper Dr, Shawnee, OK, 748019007.

What is Kent H Potts's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kent H Potts is Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1598752503 to Kent H Potts?

The Centers for Medicare & Medicaid Services assigned the 1598752503 to Kent H Potts on 2005-10-04.

As of what date was the information pertaining to Kent H Potts, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kent H Potts, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-07.

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