Ira B Potter PSC
Ira B Potter PSC is a Medical Specialty Clinic/Center in Lackey, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.
- Licensed in
- KY
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- PSC — Professional service corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
77 Millard Allen DrLackey, KY 41643-0190
Phone: (606) 358-2381
Fax: (606) 358-2404
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA1587 (KY) |
Record details
| NPI number | 1962401455 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ira Potter — President · (606) 358-2381 |
| NPI enumerated | July 18, 2005 |
| Last updated in NPPES | March 21, 2016 |
| Mailing address | Po Box 190, 77 Millard Allen Drive, Lackey, KY 41643-0190 |