Kent Potts

NPI 1598752503 · on the registry since 2005 · sole proprietor

Practice

Address: 2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone: (405) 878-4693
Fax: (405) 878-4690
Organisation at this address: Citizen Potawatomi Nation Mail Order Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 85

Registry record

Primary taxonomy: 207RC0000X
207RC0000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-07-07

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 Oklahoma