Kenneth C Potts in Jamaica Plain - Psychiatry
Kenneth C Potts - NPI 1043384514
Kenneth C Potts is a Psychiatry in Jamaica Plain, Massachusetts. Kenneth C Potts practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kenneth C Potts is 1043384514. The last update date is 2007-07-08.
Kenneth C Potts's current location address is 1153 Centre St, Jamaica Plain, Massachusetts. You can contact this provider via phone number 6179837926 and fax number 6179837455. The mailing address for Kenneth C Potts is 1153 Centre St, Jamaica Plain, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth C Potts |
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Address | 1153 Centre St, Jamaica Plain, Massachusetts |
Phone Number | 6179837926 |
Fax Number | 6179837455 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1043384514 |
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Provider Enumeration Date | 2006-11-17 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1153 Centre St |
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City | Jamaica Plain |
State | Massachusetts (MA) |
Post Code | 21303446 |
Phone Number | 6179837926 |
Fax Number | 6179837455 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | 54708 |
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
700342 | MA | TUFTS HEALTH PLAN ID | |
JO5685 | MA | BCBS OF MA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kenneth C Potts by the Centers for Medicare & Medicaid Services?
The Kenneth C Potts has been issued the NPI (National Provider Identifier) 1043384514 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kenneth C Potts is located?
The Kenneth C Potts is situated at the following address: 1153 Centre St, Jamaica Plain, MA, 21303446.
What is Kenneth C Potts's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth C Potts's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
When was the Kenneth C Potts's 1043384514 issued?
The Kenneth C Potts's 1043384514 was issued on 2006-11-17.
As of what date were the Kenneth C Potts's details last updated?
The information pertaining to the Kenneth C Potts, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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