Kenneth Potts, C.R.N.A

NPI 1316960404 · on the registry since 2006

Practice

Address: 1401 East 12th Street
Mendota, IL 61342
Phone: (815) 539-7461
Fax: (815) 539-1461
Organisation at this address: National Pain Clinic, Llc
Mendota Community Hospital
Mendota Community Hospital
Mendota Community Hospital
Mendota Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois