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1164512315
KENT POTTER
WICHITA, KS
NPI
1164512315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: KS 0425218)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
-- KENT POTTER DO
550 N HILLSIDE ST
WICHITA, KS 67214-4910
Phone number: 316-962-2239
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Mailing Address
-- KENT POTTER DO
PO BOX 548
WICHITA, KS 67201-0548
Phone number: 316-962-2239
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