Potter Plastic & Reconstructive Surgery, Pa

NPI 1215314380 - Surgery - 2086S0122X

NPI Details
NPI 1215314380
Enumeration Date 04/28/2015
Last Updated 04/28/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KIRK DAVID KIRK
Position PRESIDENT
Phone (785) 301-2250
Fax (785) 301-2270
Practice Location
2901 CANTERBURY DR
HAYS KS, 67601-2152, US
Phone (785) 301-2250
Fax (785) 301-2270
Business Location
1121 OAKMONT ST
HAYS KS, 67601-1823, US
Phone (785) 301-2250
Fax (785) 301-2270
Toxanomy
Taxonomy Code 2086S0122X
License State Kansas
License Number 05-33528
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According to our database, Potter Plastic & Reconstructive Surgery, Pa NPI is 1215314380, taxonomy code is 2086S0122X and license number is 05-33528, license state is located at Kansas. Potter Plastic & Reconstructive Surgery, Pa physically located at 2901 Canterbury Dr, Hays KS, 67601-2152. NPI Number 1033115704 has the healthcare provider type.

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1215314380 NPI number is provided on an as is basis without warranty of any kind. 1215314380 is maintained by the National Plan & Provider Enumeration System. The contents of Potter Plastic & Reconstructive Surgery, Pa are for informational purposes only.