person
Daryl K. Potter, DPM
Foot & Ankle Surgery Podiatrist in Louisville, Kentucky
NPI 1295739050

Daryl K. Potter is a Foot & Ankle Surgery Podiatrist based in Shelbyville, KY and is specialized in Foot & Ankle Surgery. Daryl K. Potter practices in Louisville, KY and has the professional credentials of DPM. The NPI Number for Daryl K. Potter is 1295739050 and holds a License No. 000271 (Kentucky).

The current practice location address for Daryl K. Potter is 4612 Outer Loop, Louisville, KY and can be reached out via phone at 502-968-2233 and via fax at 502-968-2283.

Location: 4612 Outer Loop, Louisville, KY, 40065-7393
person
Provider Profile Details
NPI Number
1295739050
Provider Name
Daryl K. Potter
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4612 Outer Loop, Louisville, KY, 40065-7393
Phone Number
502-968-2233
Fax Number
502-968-2283
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1054674 01 KY PASSPORT - GROUP
27-00311 01 KY UHC
P00112387 01 KY UHC RAILROAD
0620460004 01 KY PALMETTO - JEFFERSON CO
1157245 01 KY PASSPORT DME
000000332487 01 KY ANTHEM
2026979 01 KY CIGNA
5000492 01 KY PASSPORT - INDIVIDUAL
80903495 05 KY
0620460003 01 KY PALMETTO - HARDIN CO
7969602 01 KY AETNA
1214621 01 KY CHA
80000466 05 KY
80903735 05 KY
institution
Provider Business Practice Location Address Details
Address
4612 Outer Loop
City
State
Zip
40219-3971
Phone Number
502-968-2233
Fax Number
502-968-2283
person
Provider Business Mailing Address Details
Address
4612 Outer Loop
City
State
Zip
40219-3971
Phone Number
502-968-2233
Fax Number
502-968-2283
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
000271 (Kentucky)
Definition
Definition to come...
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