Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth K Potts, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1316960404

Kenneth K Potts, CRNA is a Certified Registered Nurse Anesthetist in Mendota, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1401 E 12th St
Mendota, IL 61342-9216
Phone: (815) 539-7461
Fax: (815) 539-1461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 041136641 (IL)

Record details

NPI number1316960404
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESDecember 30, 2011

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