location
search-icon
institution
Ira B Potter Psc
Physician Assistant in Lackey, Kentucky
NPI 1962401455

Ira B Potter Psc is a Physician Assistant based in Lackey, KY. Ira B Potter Psc practices in Lackey, KY. The NPI Number for Ira B Potter Psc is 1962401455 and holds a License No. (Kentucky).

The current practice location address for Ira B Potter Psc is 77 Millard Allen Dr., Lackey, KY and can be reached out via phone at 606-358-2381 and via fax at 606-358-2404.

Location: 77 Millard Allen Dr., Lackey, KY, 41643-0190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962401455
Provider Name
Ira B Potter Psc
Credential
Provider Entity Type
Organization
Address
77 Millard Allen Dr., Lackey, KY, 41643-0190
Phone Number
606-358-2381
Fax Number
606-358-2404
Provider Enumeration Date
07/18/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000000057539 01 KY ANTHEM
65901399 05 KY
institution
Provider Business Practice Location Address Details
Address
77 Millard Allen Dr.
City
Lackey
State
Kentucky
Zip
41643-0190
Phone Number
606-358-2381
Fax Number
606-358-2404
person
Provider Business Mailing Address Details
Address
77 Millard Allen Dr.
City
Lackey
State
Kentucky
Zip
41643-0190
Phone Number
606-358-2381
Fax Number
606-358-2404
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
PA1587 (Kentucky)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.