Kenneth K Potts, C.R.N.A.

NPI #1316960404 in Mendota, Illinois

Provider Information

NPI Number
1316960404
Entity Type
Individual
Name
Kenneth K Potts, C.R.N.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
C.R.N.A.
Enumeration Date
Jul 26, 2006
Last Updated
Dec 30, 2011

Practice Location

Address
1401 EAST 12TH STREET
ZIP Code
61342-9216
Phone
(815) 539-7461

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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